Pre-authorisation allows us to make sure that the necessary benefits are available, and to be up-front about which costs won’t be covered, and why. This means that you will be properly prepared and informed about the extent of your cover before being admitted.
You need pre-authorisation if you...
have been booked into hospital for a planned procedure.
have been scheduled for a procedure that would ordinarily require hospitalisation, but is to be performed in a doctor’s rooms
need to go for a CT, MRI or Radio Isotope scan
require renal dialysis or oncology treatment
have been referred to a hospice, or require nursing or step-down services
require any additional treatment that was not originally pre-authorised
have been diagnosed with a chronic condition and need to obtain chronic medication
require supplementary services
For emergency admissions
Authorisation is still required in the case of emergency admissions or treatment, and must be requested within 72 hours of the incident. If you cannot contact us yourself, you may ask a friend or family member to act on your behalf. Our Case Managers will assist you with the authorisation process, and will answer any questions you may have.
Contact 021 937 8300 or send a Whatsapp to 079 298 5548 (text only) during office hours Mondays to Fridays.