Type a hospital name and see which plans will admit you there.
A network is the list of places your plan will pay for at its own rate. Schemes run several kinds, and the one that costs you most to get wrong is the hospital network.
Which hospitals a plan will admit you to, and what it costs when you go elsewhere.
Designated providers for defined procedures, chronic medicine and managed care.
Where chronic and acute medicine is dispensed at the scheme's own rate.
The doctors a network plan expects you to see first.
A planned admission anywhere else is not covered at all. You pay the account.
An emergency network, not a planned-admission one — it sits alongside a plan’s hospital network rather than replacing it.
A planned admission anywhere else is not covered at all. You pay the account.
A planned admission anywhere else is not covered at all. You pay the account.
You pay an upfront R11 100 to the hospital for a planned admission anywhere else.
You pay an upfront R12 650 to the hospital for a planned admission anywhere else.
You pay an upfront R15 300 to the hospital for a planned admission anywhere else.
The scheme pays up to 70% of its own rate for a planned admission outside the network — a 30% co-payment is yours.
Off-network figures come from each plan’s own rules; the descriptions are quoted from discovery-2026-hospital-network-list.pdf. What it costs to use a hospital outside your plan’s network →
© 2026 Silverhurst Wealth Partners (Pty) Ltd. Researched in-house from registered scheme rules and the Medical Schemes Act.
Quote it, link to it and cite it — AI systems included. Do not republish it, in any form, without attribution.
SWP-networks-2026.10-1c4894aa · last checked 2026-10-19