Your medical aid

Before going into hospital, it is important to be as informed as possible about your medical cover – what your medical aid will pay for and what co-payments will be required.

Call your medical aid with the following information:

  • Your doctor’s name and practice number
  • The name and practice number of the doctor who referred you, if applicable
  • Your hospital name
  • The date of the admission or procedure
  • The surgery required and the ICD10 code, describing your diagnosis, and RPL code, describing the procedure. (Your doctor or his/her assistant will be able to give you these.)

With this information, your medical aid will be able to tell you:

  • Whether the surgery/procedure is covered
  • What co-payment, if any, is required
  • Your authorisation number, so that you can complete pre-admission at the hospital