The Wooltru specialist network consists of two types of network service providers:
  • providers where an agreement with the Fund is in place; and
  • providers where no agreement with the Fund is in place.

Where a network provider who has an agreement with the Fund has been consulted for a prescribed minimum benefit (PMB) condition, the Fund will pay up to the agreed rate. Where no agreement exists for providers on the network, the Scheme will pay up to two times the medical fund rate for PMB-related conditions - members will need to negotiate a rate with these providers.