Going to hospital is stressful, but the admin doesn't have to be. You might have to go to hospital for a planned procedure or in an emergency. Either way, we're here to help.
Planned hospital stay
It's important to tell us about your hospital stay as soon as you can. Knowing exactly what we cover will reduce your stress so you can focus on getting better.
If your healthcare provider wants to admit you to hospital:
- Ask for the names of the healthcare practitioners (for example, doctors, specialists or surgeons) who will look after you when you are in hospital and ask which hospital your doctor recommends.
- Check if the Scheme covers the condition, the treatment, the healthcare professional and the hospital. Your might have to go to another healthcare practitioner or hospital to get the most cover possible. Contact us if you are unsure or if your healthcare practitioner for your hospitalisation changes. This is to make sure that your healthcare practitioner is covered from the authorisation on your Plan.
- Get authorisation from Tsogo Sun Group Medical Scheme. Phone 0860 100 421 as soon as you can or at least 48 hours before you go to hospital.
- We will review the details, tell you what we will and will not pay for, and give you an authorisation number.
- Take the authorisation number, your membership card and your ID book or smart ID card with you when you go to hospital.
Reporting a medical emergency:
- Dial 0860 999 911 for Discovery 911
- Give your name, and the telephone number you are calling from.
- Identify yourself as a Tsogo Sun Group Medical Scheme member.
- Give a brief description of what has happened.
- Give the address at which the incident happened, as well as the nearest landmark.
- The call centre agent will be able to provide you with emergency medical advice while the ambulance is on its way.
- Do not put the phone down until the agent has disconnected.