Medical Aid Patients

Different medical aid and medical insurance schemes have different payment restrictions and benefit limits in terms of procedures covered. Please verify these prior to your admission as the hospital cannot accept responsibility for charges levied outside the scale of benefit rate. Queries in this regard must be addressed with the medical aid, medical insurer and/or practitioner directly.

Fees for medical aid patients are charged in accordance with Netcare tariff structure which is negotiated annually with the medical aids and, where possible, accounts will be sent directly to the relevant medical aid society.

The account processed and submitted by the hospital to the patient and medical aid relates only to accommodation and inpatient pharmacy charges and excludes doctors, pathology, radiology and ambulance transportation which services shall be separately billed by the relevant 3rd party provider to the patient and medical aid.

It remains your responsibility to ensure that your account is settled by your medical aid. Upon receipt of your accounts, please confirm that all details have been captured correctly.

Additional

Financial Information

We encourage the private paying patient to enquire about our competitive fees.

UCT Private Academic Hospital is contracted to most medical schemes. Fees for medical aid patients are charged in accordance with the Netcare Hospital Group Tariffs and in accordance with the relevant contract negotiated with the respective medical aid scheme – accounts will be sent directly to the relevant medical aid society where possible. Please note that services rendered by your individual doctor, anesthetist, pathologist, physiotherapist, radiologist or any other specialist, are not included in the hospital account and will be charged separately by the practice concerned.

Different medical aid and medical insurance schemes have different payment restrictions and benefit limits in terms of procedures covered. Please verify these and, in particular your benefit restrictions in respect of prosthesis e.g. (hip & knee replacement, back & neck fusions) and other special major surgery, prior to your admission, as the hospital cannot accept responsibility for charges levied outside the negotiated benefits rate. Queries in this regard must be addressed with the medical aid, medical insurer and/or practitioner directly.

If you receive payment for your hospitalisation directly from your medical aid/medical insurance company, we encourage you to make contact with our accounts department, in order to arrange payment of your hospital account. Should you also receive payment for medical procedures undertaken by the surgeon, or other medical professionals, please arrange payment with the relevant practice. For safety reasons, no cash refunds will be made.