Planning your hospital event
Hospitalisation and associated in-hospital benefits are subject to pre-authorisation; failing to obtain pre-authorisation may lead to benefits being forfeited or co-payments applied. Pre-authorisation for a hospital admission is not a guarantee that all claims related to the hospital event will be covered in full.
Obtain your hospital authorisation
Limited to PMBs:
- 100% of contracted rate in hospital network DSPs
- 80% of Scheme rate in non-DSPs
Benefits limited to general ward rates. No benefit for dental surgery, except for PMBs.
Benefits only available on referral from a Bankmed GP Entry Plan Network GP or referred specialist.
Benefits for PMBs and non-PMBs:
- 100% of contracted rate in hospital network DSPs
- 80% of Scheme rate in non-DSPs
Benefits limited to general ward rates. No benefit for dental surgery, except for PMBs.
Benefits only available on referral from a Bankmed GP Entry Plan Network GP or referred specialist.
Benefits for PMBs and non-PMBs:
- 100% of contracted rate in hospital network DSPs
- 100% of Scheme rate in non-contracted private hospitals
Benefits limited to general ward rates.
No benefit for dental surgery, except for PMBs.
Benefits for PMBs and non-PMBs:
- 100% of contracted rate in hospital network DSPs
- 100% of Scheme Rate in non-DSPs
- R6 425 deductible applies for use of non-DSPs
Benefits limited to general ward rates.
Benefits for PMBs and non-PMBs:
- 100% of contracted rate in private hospitals
- 100% of Scheme rate in non-contracted private hospitals
Benefits limited to general ward rates.
Benefits for PMBs and non-PMBs:
- 100% of contracted rate in private hospitals
- 100% of Scheme rate in non-contracted private hospitals
Benefits limited to general ward rates.
For more detail on your hospitalisation, download the 2025 Benefit and Contribution Schedule.