Before planned care
Ask your provider for the procedure details and check your scheme’s requirements before making arrangements. The hospital and treating practitioners may have separate network or billing arrangements. Request written clarification of any approval, limit or co-payment.
If a request is still pending
Keep the submission date and reference number. Ask whether documents are missing and which party needs to supply them. We can assist with following up the query and keeping track of the response.
If the request is declined
Request a written reason and details of the available review process. Your practitioner may need to provide a motivation or additional clinical evidence. An administrative follow-up does not replace that clinical input.
Important limits
Approval does not necessarily cover every charge. Check the approved service, provider, dates and benefit conditions. In an emergency, seek urgent medical care; do not wait for Medical Aid Hub to respond.
Arrange a conversation
Tell us the type of help you need using the contact form. Ask us to explain the scope of support and any charges before agreeing to a service.
Sources and further reading
General information. Your scheme rules and individual circumstances matter. Contact your scheme or an appropriately qualified adviser for a decision about your situation.