Day surgery procedures

Treatment and care for a procedure included in this list must be received as a day surgery procedure. To ensure the Fund will cover the cost of the procedure without a co-payment, you must use a provider or facility in the Fund's Network of Day Surgery providers. You can find the nearest provider to you on the website, by using the MaPS tool.

We apply a clinical exceptions process to all complex cases, or procedures that might require an extended stay at the facility. Where necessary, we will transfer you to the appropriate facility.

You will have to pay a deductible of R6 300 to the facility if you use a facility that is not on the Day Surgery Network to undergo one of the listed procedures.