Medical aid & pricing
Medical aid accepted — we handle the admin.
We accept most major South African medical aids and work directly with your scheme to obtain pre-authorisation for sleep studies and EEG investigations. Our admin team handles the paperwork so you can focus on your health.
Navigating medical aid benefits for specialist procedures can be daunting. At the EEG & Snoring Clinic, we simplify the process as much as possible. Our experienced admin team liaises directly with your medical aid, motivates for covered procedures, and obtains pre-authorisation on your behalf.
Sleep studies (PSG, HSAT, MSLT, CPAP titration) and EEG investigations are covered by most major medical aids when there is appropriate clinical indication. We provide detailed clinical motivation letters and use correct ICD-10 and procedure coding to maximise your chances of pre-authorisation.
Private (cash) patients are also welcome. Please contact us for current procedure fees. We believe cost should not be a barrier to diagnosis — if you have financial concerns, speak to our admin team and we will try to find a solution.
Contact us about medical aid
What is typically covered
Services covered by medical aid.
Coverage depends on your specific plan and scheme. The services below are generally covered with appropriate clinical motivation and pre-authorisation.
Polysomnography (PSG)
Overnight in-lab sleep study — the gold standard for diagnosing sleep apnoea, narcolepsy, parasomnias, and sleep-related movement disorders. Covered by most major medical aids with clinical motivation.
Electroencephalogram (EEG)
Routine, sleep-deprived, ambulatory, and video-EEG studies for epilepsy, neurological events, and sleep-related brain activity. Generally covered under neurology benefits with appropriate referral.
Home Sleep Apnoea Test (HSAT)
Portable overnight screening for obstructive sleep apnoea. Covered by many schemes as a lower-cost alternative to in-lab PSG in patients with high pre-test probability.
CPAP Titration Study
In-lab overnight study to determine optimal CPAP pressure following an OSA diagnosis. Usually covered as a follow-on to a PSG when treatment initiation is documented.
Specialist Consultation
Initial and follow-up specialist consultations are covered at medical aid rates under specialist consultation benefits. Pre-authorisation may be required depending on your scheme.
MSLT (Narcolepsy Testing)
Multiple Sleep Latency Test performed the day after an overnight PSG for suspected narcolepsy or idiopathic hypersomnia. Covered with clinical motivation on most comprehensive plans.
Accepted schemes
Medical aids we work with.
We accept most major South African medical aids. If yours is not listed, please contact us — we will check our current accreditation status.
* This list is not exhaustive. Contact us to confirm your specific scheme and plan.
Frequently asked questions
Medical aid & pricing — your questions answered.
Do I need pre-authorisation for a sleep study?
Most medical aids require pre-authorisation for overnight sleep studies. Our admin team handles the pre-authorisation process on your behalf — we contact your scheme, motivate for the procedure, and obtain the authorisation number before your study.
What if my medical aid does not cover the full cost?
If there is a shortfall between the medical aid payment and our procedure fee, we will inform you in advance. We aim to keep out-of-pocket costs transparent and reasonable, and can discuss payment arrangements where needed.
Can I be seen as a private (cash) patient?
Yes. We see patients on a private-pay basis. Please contact us directly for current procedure fees. Private patients benefit from the same quality of care and specialist-reported results.
Does medical aid cover CPAP machines and masks?
Many schemes provide once-off or annual funding toward CPAP equipment under a chronic or appliance benefit, once OSA is documented and the treating specialist confirms CPAP is indicated. We provide the required clinical documentation to support your claim.
How do I check what my plan covers?
Call the member helpline on the back of your medical aid card, or speak to your broker. Provide the relevant ICD-10 codes and procedure codes (available from our admin team) to get an accurate benefit estimate before your appointment.
Does medical aid cover neurofeedback or qEEG brain mapping?
Coverage for neurofeedback and qEEG varies significantly between schemes and plan options. Some pay under psychology or neurology benefits; others do not cover these services. Contact us for current information and we will help you check your specific benefits.
Have a question about costs or cover?
Our admin team is happy to check your benefits, assist with pre-authorisation, and give you a clear picture of what to expect before your appointment.