Hospital Network Plan members, take note
Remember that members on the Hospital Network Plan have to use hospitals that form part of the Scheme’s Designated Service Providers (DSPs) for non-emergency hospitalisation, or incur a co-payment. However, in the case of an emergency* members can be admitted to any hospital.
You can find a list of DSP hospitals here: nmas.co.za/network-hospitals/
NOTE: With an upsurge in Covid-19 infections, especially in the Eastern Cape, it may be that hospitals become full. If you need to be admitted to hospital, especially for a non-emergency procedure, contact your closest DSP hospital to confirm whether they have capacity. If they are full, they may have to refer you to another (potentially non-DSP) hospital, in which case the co-payment will not apply.
* The definition of an emergency is as follows:
“An emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical treatment and/or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs or other body parts, or even death.”