Question:
Why are NHN/Melomed Hospitals not on SAMWUMED’s network?
Answer:
SAMWUMED, like other Medical Aid Schemes, changes our hospital networks every couple of years via a tender process to secure the best possible rates for our members and prevent unnecessary co-payments.
Despite previous collaborations and participation in the 2023 Request for Proposals (RFP) process, resulting in the appointment of the National Hospital Network (NHN), which includes the Melomed Group, as one of the Anchor Hospitals, no new network agreement was signed with NHN, because the Parties could not reach a mutual agreement on a clause relating to fraud prevention. The initial NHN Agreement, which commenced on 1 January 2021, has now expired.
Following the expiration of the NHN Agreement, SAMWUMED engaged with the Melomed Group to appoint their facilities most frequented by our Members as filler Hospitals in our Network but could not reach an agreement. It should be made clear that neither the NHN Group nor the Melomed Group were prepared to come to a mutual agreement with SAMWUMED and that SAMWUMED exhausted all avenues to come to a mutual agreement with Melomed and NHN.
Question:
Which Network Hospitals can I use instead of Melomed Hospitals?
Answer:
Netcare and Mediclinic Hospitals and other filler hospitals have been appointed as SAMWUMED’s Anchor Network Hospitals. The majority of SAMWUMED members live within a 30km radius of our Network Hospitals.
Members who are previously used:
- Melomed Tokai can use Mediclinic Constantiaberg, which is 4.9km away
- Melomed Bellville can use Mediclinic Louis Leipoldt, which is 1.2km away
- Melomed Gatesville can use at Netcare N1 City, which is 11.2km away
- Melomed Mitchell’s Plain can use Mediclinic Louis Leipoldt, which is 6km away or at Netcare Kuilsriver, which is 18.8km away
- Melomed Richards Bay can use Netcare The Bay Hospital which is 14.4km
- Find our full list of Network Hospitals on our website.
