Emergency /Casualty
What is a medical emergency?
A medical emergency is the sudden, unexpected onset of a health condition that needs immediate medical or surgical treatment. If this treatment is not provided, the person’s life would be at risk or result in serious impairment or dysfunction of an organ or body part.
If you need medically-equipped transport in a medical emergency, call 0860 999 911. This telephone line is managed by highly qualified emergency personnel who will send the most appropriate air or road emergency evacuation transport.
Cover for medical emergencies in South Africa
Call Discovery 911 on 0860 999 911 – this number is displayed on your membership card and car sticker for easy reference. If you need medically equipped transport, for example an ambulance or helicopter for a medical emergency, we will cover the costs from your Hospital Benefit, whether you are admitted to hospital or not.
We will cover your emergency admission in full as a Prescribed Minimum Benefit in whatever hospital you are admitted to. A Prescribed Minimum Benefit is the minimum amount of cover that any medical scheme must offer. Once you have been stabilised we will arrange a transfer to our designated service provider (our choice of hospital provider or healthcare professional) for your cover to continue in full. You may choose to stay in the hospital that is not a designated service provider (non-DSP) and have your claims paid according to your plan type but you may have to pay an amount.
We cover HIV prophylactics
If you need HIV prophylactics to prevent HIV infection from mother-to-child transmission, occupational and traumatic exposure to HIV or sexual assault, call us on 0860 627 633.
Cover for going to casualty
Cover outside the borders of South Africa
If you are outside the borders of South Africa and need medical care, you will have to pay for these expenses. When you are back in South Africa, you must submit the claim to the Fund, with proof of payment. Naspers Medical Fund will refund you at the Fund Rate for that specific procedure or treatment if it would normally be covered under your benefits.
These claims are paid at Naspers Medical Fund’s discretion.