Health Blog
Do you know when to get authorisation from us?
Do you know when to get authorisation from us?
Do you need to see a Specialist or visit the hospital soon? It’s important that you know when to get authorisation from us! After all, you have the benefits available to you, you just need to follow the right process.
Here’s when to get authorisation from us:
| PlatComprehensive | PlatCap | PlatFreedom | |
|---|---|---|---|
| Specialist Consultations | ✓ | ✓ | ✕ |
| In- and out of hospital procedures and medical admissions | ✓ | ✓ | ✓ |
| Specialised dentistry | ✓ | ✓ | ✓ |
| Specialised radiological investigations such as MRI, CT and PET scans | ✓ | ✓ | ✓ |
| Managed-care programmes such as maternity, cancer and oncology, kidney disease, oxygen management and HIV | ✓ | ✓ | ✓ |
Here’s the process to follow to make sure we cover your claims at Scheme tariff:
Step 1
Your GP or Specialist will give you a referral letter.
Step 2
Submit your referral letter to Case Management via any of the following channels:
Tel: 014 590 1700 or 080 000 6942
WhatsApp: 080 000 6942
E-mail:
plathealth@platinumhealth.co.za (specialist consultations)
HospitalConfirmations@platinumhealth.co.za (hospital pre-authorisation)
Step 3
Your request is reviewed by Case Management and the Medical Advisor.
Step 4
We will notify you of the outcome!
- If your request is approved, you will receive an authorisation number from us via SMS or e-mail.
If your request is rejected, you can call Case Management on 014 590 1700 to find out why.