EDOs

1. WHAT ARE EDOs?
EDOs are Efficiency Discounted Options

2. WHICH PLANS OFFER EDOs?
What is the differential factor?
Nothing changes from current plan offering.
The new network options only offer the following:-

  • Reduced contributions
  • Operating within hospital network

3. PRIMARY CARE NETWORK OPTION
The new Primary Care Network option offers reduced contributions, unlimited hospitalisation through a network of private hospitals at the same level of cover.

For a full list of network hospitals please visit www.sizwe.co.za

4. AFFORDABLE CARE NETWORK OPTION
The new Affordable Care Network option offers reduced contributions with
comprehensive cover with generous chronic and day-to-day benefits through a
network of private hospitals.
For a full list of network hospitals please visit www.sizwe.co.za

5. WHAT YOU NEED TO KNOW ABOUT EDOs:

  • All claims will be paid at 100% Sizwe Rate
  • Members on the EDO options can elect any hospital with in the network
    for scheduled procedures.
  • All hospital admissions must be authorised. A co-payment of R1500 will
    be applied if authorisation was not obtained prior to admission except in
    an emergency.
  • Hospitalisation outside the preferred network will be applied with a copayment of R12 000 except in an emergency.
  • Your membership number will not change with EDO option change.
  • The closing date for EDO option selection deadline is at 31st January
    2019.
  • The EDO option change form can be accessed from Sizwe website at www.sizwe.co.za
  • Further enhancements on the provider network will be on-going and will
    be communicated in due course.

Members are encouraged to go to our website for detailed information on EDOs by visiting the site on www.sizwe.co.za to view the hospital network in your area as well as access all relevant information on these plans. Also, members should consult their Intermediary Partners and/or Brokers for more detailed explanations on EDOs.
6. WHICH HOSPITALS ARE IN THE NETWORK?

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