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Pre-authorisation Number

PLEASE PHONE THIS NUMBER FOR PRE-authorisation:
  
0800 22 0106
 - hospitalisation / Radiology / Psychiatry
 - Surgical Dentistry
 - Confinements

Office Hours: Mondays to Fridays 8:00 until 16:00

Please note: In an emergency, on public holidays or during weekends you must obtain an authorisation number from 0800 22 0106 on the first working day after admission to the hospital / clinic.

Additional pre-authorisation information

BluePrint
TopCare
Millennium Comprehensive
Millennium Standard

How to obtain pre-authorisation

Do you need to be admitted to hospital / clinic or need to go for advanced radiology, radiotherapy?  
YES  
  
Contact our Quality Healthcare Reference Centre at 0800 22 0106 between 08:00 and 16:00 weekdays only. Please have the following information before you call:
  • Member number

  • Dependant code (on member card)

  • Date of admittance / procedure

  • Name of the attending physician

  • Name of the hospital / facility

  • Reason for admittance (preferably the BHF tariff code, ICD 10 code and or CPT4 code, given by the attending physician).

  
  
Is pre-authorisation granted?NO Obtain the correct information or benefit shall be paid subject to funds available in your JBA (Savings Account - not threshold contributing).
YES  
  
Contact the hospital / facility with the pre-authorisation number.
Network Hospitals
  

Important to Know

Please be advised that although BESTmed has a written agreement with private hospitals to charge the BESTmed tariff, this is not the case with regard to the individual medical practitioner who will be treating you while you are hospitalised.

You are advised to confirm with these individual providers whether they will be claiming higher fees than the BESTmed rates. Click here to see these rates.

If they do not claim higher fees, BESTmed will pay the amount equal to the BESTmed tariff to you personally, and you will then be required to settle the outstanding account with the service provider.

Network Hospitals

Emergency Admittance

Please note: In an emergency, on public holidays or during weekends you must obtain an authorisation number from 0800 22 0106 on the first working day after admission to the hospital / clinic.