Designated Service Provider Networks
What is a Designated Service Provider Network?
A Designated Service Provider (DSPN) is a healthcare provider or group of providers designated by the Scheme to provide services to our members for the diagnosis, treatment and care of medical conditions, including PMB conditions. Using a DSPN ensures that you receive the most appropriate treatment to facilitate better outcomes. If you use a non-DSPN you will be liable for any co-payment over and above what is charged by the DSPN.
The Scheme's DSPNs apply to both Premium and Savvy options. Hospitalisation on the Savvy options is subject to use of the Savvy Network hospitals. Hospitalisation on the ProSelect option is subject to use of the ProSelect Network hospitals.
Voluntary use of a non-DSPN will result in a co-payment.
List of Designated Service Provider Networks
Alcohol and Drug Rehabilitation
South African National Council on Alcoholism and Drug Dependence (SANCA)
Oncology Risk Management
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Chronic Dialysis
National Renal Care, Life Healthcare, Mediclinic
Optometry
Click here to search for a network optometrist
Day Procedure Network
Netcare, Mediclinic, National Hospital Network (NHN) facilities, Joint Medical Holdings (JMH), specified Life Healthcare (LHC) hospitals and Day Hospital Association of South Africa (DHASA)
Pharmacy
Profmed Pharmacy Network
Click here to search for a network pharmacy
Domiciliary (Home) Oxygen
Ecomed Medical cc
Preventative Care – Pathology
Ampath, Lancet Laboratories and Pathcare
Emergency Medical Transport (EMT) (Within RSA)
Netcare 911
082 911
Mental Health Hospitalisation
Akeso (Netcare), Crescent Mental Health Services (Mediclinic), Denmar (Mediclinic), participating Joint Medical Holdings (JMH) hospitals and National Hospital Network (NHN) facilities and Life Healthcare (LHC)
Functional Rehabilitation Programme
Documentation Based Care (DBC) Back and Neck Programme, Workability
Post-Natal Home-based visit
Wellness Health Insurance Pathology Services (W.H.I.P.S.)
International Travel Medical Assistance
Europ Assistance
+27 11 991 8564
ProSelect Option Network Hospitals
Mediclinic, Life Healthcare (LHC), National Hospital Network (NHN) facilities, Joint Medical Holdings (JMH), Day Hospital Association of South Africa (DHASA), specified Independent hospitals and specified Netcare hospitals with the exception of benefits for mental health hospitalisation, drug and alcohol rehabilitation, physical rehabilitation, subject to pre-authorisation, rules and protocols. Click here to find a hospital
Endoscopic Examinations in an acute hospital setting: ProSelect Option
ProSelect Network hospitals as listed here.
Oncology – Chemotherapy and Biologicals
Dis-Chem Pharmacy and Medipost
Savvy Network Hospitals
Mediclinic, Life Healthcare (LHC), Day Hospital Association of South Africa (DHASA), specified Independent hospitals, Joint Medical Holdings (JMH), other specified National Hospital Network (NHN) and specified Netcare hospitals, as listed on the website, with the exception of benefits for mental health hospitalisation, drug and alcohol rehabilitation, physical rehabilitation, subject to pre-authorisation, rules and protocols. Click here to find a network hospital
Oncology – PET Scans
Bloch & Partners at Morningside Clinic (applies to greater Johannesburg region only)
WHISPA
GBV Support Programme Trauma, and HIV Assistance Programme, Lifesense
0861 776 363
