Transcription of ANNEXURE C DISCOVERY HEALTH HOSPITAL NETWORKS
1 ANNEXURE C DISCOVERY HEALTH HOSPITAL NETWORKS AREA HOSPITALS DELTA KEYCARE Core / Plus Access EASTERN CAPE East London Life Beacon Bay East London Life St James Operation theatres East London Life East London Private East London Life St Dominic s Private Humansdorp Life Isivivana Private Kokstad NetCare Kokstad HOSPITAL Port Elizabeth Life New Mercantile Queenstown Life Queenstown Private Uitenhage Netcare Cuyler clinic Uitenhage Netcare uitenhage HOSPITAL Umtata Life St Mary's Private FREES TATE Bethlehem Hoogland MediClinic Bloemfontein Bloemfontein Eye Centre Bloemfontein Netcare Pelonomi Private Bloemfontein Life Rosepark Clinic Bloemfontein Life Pasteur Bloemfontein Netcare Universitas Private Welkom Ernest Oppenheimer Welkom Welkom Mediclinic Welkom St Helena HOSPITAL GAUTENG Alberton Clinton Clinic Bedfordview Life Bedford Gardens HOSPITAL Benoni Life The Glynwood Boksburg Botshelong Empilweni-clinic (Clinix Vosloorus)
2 Boksburg Sunshine Centre Brakpan Life Dalview Clinic Fourways Life Fourways HOSPITAL Germiston Life Roseacres Clinic Heidelberg Life Suikerbosrand Clinic Johannesburg Netcare Rand Clinic Johannesburg Morningside Mediclinic Johannesburg Johannesburg Eye Clinic Johannesburg The Dondald Gordon Medical Centre Johannesburg Netcare Garden City Clinic Johannesburg Life Brenthurst Clinic Kempton park Arwyp Medical Centre Krugersdorp Netcare krugersdorp HOSPITAL Lakefield Netcare Optiklin Eye Lenasia Lenmed Clinic Midrand Life Carstenhof Clinic Pretoria Netcare Bougainville Private Pretoria Centurion Eye HOSPITAL Pretoria Netcare Femina HOSPITAL Pretoria Life Little Company of Mary Pretoria Life Eugene Marais Pretoria Netcare Jacaranda Pretoria Legae MediClinic Pretoria Louis Pasteur Pretoria Medforum MediClinic ANNEXURE C DISCOVERY HEALTH HOSPITAL NETWORKS AREA HOSPITALS DELTA KEYCARE Core / Plus Access GAUTENG CONT.
3 Pretoria Muellmed Pretoria Pretoria-Eye Institute Pretoria Zuid Afrikaans Randfontein Life Robinson Randfontein Sir Albert Medical Centre Roodepoort Life Wilgeheuwel HOSPITAL Sasolburg Netcare Vaalpark HOSPITAL Soweto Clinix Soweto (Tshepo Themba) Soweto Lesedi Clinic Springs Life Springs Parkland Clinic Springs Life St Mary s Women s Clinic Springs Netcare N!& HOSPITAL Thembisa Zamokuhle Private Vanderbijlpark Emfuleni MediClinic Vanderbijlpark Ocumed Vereeniging Clinix-Private, Sebokeng Vereeniging Midvaal Private Westgate Medgate Day Clinic KWAZULU-NATAL Amanzimtoti Netcare Kingsway HOSPITAL Chatsworth Life Chatsmed Garden Durban Life City Durban Life Entabeni HOSPITAL Durban Ethekwini HOSPITAL Durban McCord Empangeni Life Empangeni Garden Clinic Isipingo Life Isipingo Clinic Kokstad Kokstad Private Ladysmith La Verna Newcastle Newcastle Private Phoenix Life Mount Edgecombe Pietermaritzburg Midlands Medical Centre Pietermaritzburg Netcare St Anne s Pinetown Life Crompton Port Shepstone Hibiscus Richards Bay Netcare The Bay Sydenham Nu Shifa
4 Tongaat Victoria Private Westville Life Westville LESOTHO Lesotho Willie s HOSPITAL LIMPOPO Bela Bela St Vincent's Phalaborwa Clinix Phalaborwa Private Polokwane Limpopo MediClinic Thabazimbi Thabazimbi MediClinic Tzaneen Tzaneen MediClinic MPUMALANGA Barberton Barberton MediClinic Emalahleni/Witbank Life Cosmos Emalahleni/Witbank Emalahleni Day Ermelo Ermelo Private Middelburg Life Middelburg Private Nelspruit Nelspruit Private Trichardt Highveld MediClinic ANNEXURE C DISCOVERY HEALTH HOSPITAL NETWORKS AREA HOSPITALS DELTA KEYCARE Core / Plus Access NORTH WEST Carletonville Leslie Williams Private Carletonville Western Deep Clinic Klerksdorp Life Anncron Clinic Mafikeng Victoria Private Orkney West Vaal Clinic Potchefstroom Potchefstroom MediClinic Rustenburg Life Peglerae Rustenburg Netcare Ferncrest NORTHERN CAPE Kathu Kathu MediClinic Kimberley Kimberley MediClinic Upington Upington Private Vryburg Vryburg Private WESTERN CAPE Bellville Bellville Medical Centre Bellville Louis Leipoldt MediClinic Cape Town Netcare Christiaan Barnard Memorial Cape Town Netcare UCT Medical Centre Cape Town Cape Town Mediclinic Claremont Life Claremont HOSPITAL Claremont Life Kingsbury HOSPITAL Ceres
5 Ceres Private Gatesville Gatesville Medical Centre George Geneva Clinic George George MediClinic Hermanus Hermanus MediClinic Kuilsriver Netcare Kuilsriver Private Milnerton Milnerton MediClinic Mitchells Plain Mitchells Plain Medical Centre Mossel Bay Bayview Oudtshoorn Cango Day clinic Oudtshoorn Klein Karoo MediClinic Paarl Paarl MediClinic Parow Panorama Mediclinic Somerset West Vergelegen Mediclinic West Coast Life West Coast Private Worcester Worcester MediClinic Please note that the list of hospitals is subject to change. You can go to for the latest list of hospitals. The list does not include the day clinics where members can get treatment without paying an amount upfront.
6 ANNEXURE C DISCOVERY HEALTH HOSPITAL NETWORKS CLIENT NAME: 2013 DISCOVERY HEALTH OPTION CHANGE FORM Section 1: Member Details Name and Surname: Membership Number: Employee Number: Current Plan: Section 2: Plan Selection I would like to change my plan option for 2013 as follows: (Please the respective box) Executive Essential Delta Saver ** Classic Comprehensive Coastal Saver ** Classic Delta Comprehensive ** Classic Core Classic Comprehensive Zero MSA Classic Delta Core ** Essential Comprehensive Essential Core Essential Delta Comprehensive ** Essential Delta Core ** Classic Priority Coastal Core Essential Priority Keycare Plus Classic Saver Keycare Access Classic Delta Saver ** Keycare Core Essential Saver * For members residing in coastal provinces only **The Delta plans make use of a network of hospitals **KEYCARE PLUS members ONLY.
7 Please complete if you want to change your service provider as from 1 January 2013 (Provider list / names available from or 0860 100 694. Name of Doctor Practice Number Principal Member Dependant 1 Dependant 2 Dependant 3 Dependant 4 Section 3: Vitality Selection I would like to change my Vitality and/or KeyFIT option for 2013 as follows: (Please the respective box) Join Vitality Cancel Vitality Join KeyFIT Cancel KeyFIT Join Vitality and KeyClub Cancel Vitality and KeyFIT Section 4: Declaration I hereby declare that full product information has been made available to me by DISCOVERY HEALTH and/or Alexander Forbes HEALTH which enabled me to make an informed decision with regard to selecting / changing my plan option.)
8 I also confirm that should I require advice or assistance I will have full access to my Alexander Forbes HEALTH terms of the Rules of the Medical Scheme, I hereby apply to change my medical scheme plan option as indicated above. I understand the rules, benefits and financial implications of this plan option selection. Signature: Date: ANNEXURE C DISCOVERY HEALTH HOSPITAL NETWORKS This form must be completed and returned to your HUMAN RESOURCES DEPARTMENT BY 30TH NOVEMBER 2012.
