You can authorise your planned hospital admission by phoning us on 0860 11 66 33, between 7:00 and 17:00 on weekdays.
You need to give us these details:
- Your scheme membership number
- When you will be admitted into hospital and how long you will stay
- Your treating doctor's name and practice number
- Your diagnosis (ask your doctor for the ICD-10 diagnosis code)
- The procedure name and code, if available (ask your doctor for the RPL procedure codes)
- The name and practice number of the hospital or day clinic
- The date of the procedure.
If one of your dependants is being treated, give us all of his or her details.
You must pre-authorise for full hospital cover
You need to pre-authorise your planned hospital admission at least 48 hours before you are admitted. If you don't, you will have to pay a co-payment of R500 to the hospital from your own pocket.
In an emergency, you must go straight to the hospital and call us (or get someone to call us) as soon as possible to preauthorise your admission.
See your doctor before pre-authorising your admission
Before you pre-authorise your hospital admission (unless it's an emergency or for a birth), you need to visit your doctor for an examination.