In order to be covered by our Major Medical Benefit, you’ll need to get our authorisation first. This cover could be for a planned or emergency hospital admission, specialised radiology, selected procedures, our 30 day post-hospitalisation benefit or casualty treatment.
For any treatment that’s not an emergency (i.e that’s planned ahead of time), you’ll need to contact us at least 48 hours beforehand. We’ll give you a hospital authorisation number, which you should write down and take with you to hospital.
If you need any specialised radiology or treatment in the 30 days after your hospital visit, you’ll need an extra authorisation number. If you’re not sure whether you need this extra number, contact us to find out.
You must contact us within two working days if it was an emergency
In an emergency you must get an authorisation number from us within two working days after going to hospital. If you do not, you will have to pay a penalty of R1 000.
If you cannot contact the Authorisation Centre yourself, then your doctor or a family member or the hospital can contact us on your behalf.
Contact us within two working days if you needed trauma treatment
If you visit casualty for trauma treatment, you must get an authorisation number from us within two working days of the treatment. If you do not, the claim will be paid from the Day-to-Day Benefit.
Need to get authorisation for a hospital stay or any other treatment? Contact us now:
Phone us: 0860 002 153
Monday to Thursday 08h30 – 19h00
Email us: email@example.com
When you contact us, please have the following information ready:
1. Your Fedhealth membership number.
2. Your date of birth.
3. The reason for admission, ICD10 and applicable tariff codes for the proposed treatment (your doctor should give these to you).
4. The date of admission and the proposed date of the operation or treatment.
5. The referring doctor’s name and telephone and practice numbers.
6. The name of the hospital with telephone and practice numbers.
7. For a CT scan, MRI or similar procedure, you’ll need the name of the radiology practice.