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)

Chronic Dialysis

National Renal Care, Life Healthcare, Mediclinic

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)

Domiciliary (Home) Oxygen

Ecomed Medical cc

Emergency Medical Transport within SA

Netcare 911 – 082 911

Functional Rehabilitation Programme

Documentation Based Care (DBC) Back and Neck Programme, Workability

International Travel Medical Assistance

Azoza – +27 11 991 8564

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)

Oncology – Chemotherapy and Biologicals

Dis-Chem Pharmacy and Medipost

Oncology Risk Management

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Optometry

Visit Opticlear to search for a network optometrist

Pharmacy

Profmed Pharmacy Network. Click here to search for a network pharmacy

Post-Natal Home-based visit

Wellness Health Insurance Pathology Services (W.H.I.P.S.)

Preventative Care – Pathology

Ampath, Lancet Laboratories and Pathcare

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

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