0860 765 633
Get in touch
POLMED
  • Home
  • About Polmed
  • Scheme Rules
  • Member Zone Login
  • Provider Search
  • Provider Zone Login
  • Members
  • Forms & Downloads
  • DSPs & Partners
  • Procurement & Career Opportunities
  • Legal & Compliance
  • Integrated Report
  • Contact Us
Select Page

Your browser seems to be outdated or incompatible with our website!

Please click on one of the icons below to download the latest version

Microsoft Edge
Edge
Google Chrome
Chrome
Mozilla Firefox
Firefox

HOSPITAL BENEFIT MANAGEMENT

Polmed’s Hospital Benefit Management Department helps members to get authorisation before being admitted to hospital or undergoing any other examinations specified by the Scheme for pre-authorisation.

Pre-authorisation of hospital admissions and out-of-hospital care is a critical component in managing access to affordable, appropriate, safe and quality healthcare.

Helping you get the best care

Our team of doctors and registered nurses have been chosen to ensure maximum healthcare from available resources by assisting you in making informed decisions, offering useful advice, and liaising with you and your healthcare providers. By rendering this specialised service, we can ensure that you and/or any member of your family are admitted to the appropriate facility at the correct fee. If your stay in hospital exceeds the approved number of days, the hospital Case Manager will contact the Scheme regarding the proposed changes, including ward movements or extra theatre visits.

Pre-authorisation

All admissions (hospital and day clinics), as well as specialised radiology, must be pre-authorised to avoid financial penalties. For further information, please refer to Polmed’s General Rules. The pre-authorisation process is both quick and informative. For details on how to obtain the required pre-authorisation number, please view Polmed’s Hospital Pre-authorisation process. Certain procedures will be funded from the hospital benefit if done in a doctor’s rooms and day clinics.

If these procedures are completed in-hospital, the member may be liable for a co-payment, except in case of an emergency. If these procedures are done in a doctor’s rooms, there is no need for pre-authorisation.

Contact Details

Polmed Hospital Benefit Management Department

0860 765 633 (members) or 0860 104 111 (providers)
0860 104 114
PolmedAuths@medscheme.co.za

Hospital Benefit Management

Tel: 0860 765 633 or 0860 POLMED
Email: polmed@medscheme.co.za
Fax: 0860 104 114

Postal Address:

Polmed, Private Bag X16,
Arcadia, 0007

Emergency Services:

ER24 0800 727 772 or
084 124

Council for Medical Schemes:

www.medicalschemes.com
Polmed Fraud Hotline:
0800 112 811
SMS: 33490

information@whistleblowing.co.za
fraud@medscheme.co.za

Polmed © 2025
  • Terms & Conditions
  • Privacy Policy
  • Copyright Statement
  • Security Statement
  • PAIA