Managed Care FAQs
Case Coordination FAQs
What is the process for pre-authorisation request?
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How long does it take to get requested pre-authorisation approved?
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Does one need to pre-authorise foreign treatment, if yes how do I get preauthorized?
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Does Cimas reimburse foreign treatment if member paid cash for the treatment?
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Do I need to authorise ambulance services?
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Does hospitalisation require pre-authorisation?
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Do I need to get pre-authorisation for Dental treatment, Optical treatment, and Radiology treatment?
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Does Cimas cover Maternity in full?
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How can I get access to the network of service providers in my area who are in partnership with Cimas?
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What are the Cimas bluezone Network of providers?
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How do I access the Cimas bluezone network?
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Why do I need to pay co-payment at Doctor’s rooms?
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How does I get registered with Cimas as a provider?
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Provider Liaison FAQs
Does Cimas cover Maternity in full?
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How can I get access to the network of service providers in my area who are in partnership with Cimas?
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What are the Cimas bluezone Network of providers?
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How do I access the Cimas bluezone network?
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Why do I need to pay co-payment at Doctor’s rooms?
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How does I get registered with Cimas as a provider?
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Why do service providers charge shortfalls for Cimas card purchases?
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What is a shortfall?
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How do I get reimbursement for cash claims if provider does not accept Cimas card?
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How do I submit my provider claims for reimbursement at Cimas?
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Can I visit and consult different doctors on the same day and claim reimbursement?
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Do I have a limit on GP visits, specialist visits?
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How do I get my medicine claim reimbursement?
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Can I get my medicine prescription refill at Cimas pharmacies if I consult outside Cimas clinics?
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Can a provider request biometric fingerprint bypass on behalf of a member?
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Disease Management FAQs
How does one get enrolled in Cimas Disease Management as a chronic patient?
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If chronic benefits are exhausted, do I get an extension?
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As a cancer patient what do I need to do to get assistance for my chemotherapy cycles
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As a chronic patient on anti-retroviral medication do I have full cover?
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As an enrolled chronic diabetic patient, do I get glucometer for free at Cimas?
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As an enrolled chronic hypertension patient do I get BP machines from Cima's facilities?
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What are the benefits of being enrolled with Cimas as a chronic patient under Disease Management?
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