Once the assessment is complete and you’ve decided to proceed, our team handles the admission paperwork so treatment can begin with as little delay as possible.
If you’re covered by medical aid, we’ll verify your benefits and manage pre-authorisation on your behalf.
We know this call isn’t easy to make. Our admissions team will go at your pace, answer your questions honestly, and won’t pressure you into a decision.
Here’s what happens when you contact Houghton House:
Yes. In South Africa, all registered medical aid schemes are legally required to cover the diagnosis and treatment of substance use disorders under Prescribed Minimum Benefits (PMBs). This applies regardless of which scheme you’re on or which plan you hold.
Because Houghton House is licensed as both a rehabilitation facility and a private psychiatric hospital, patients can access both addiction PMBs and, where a co-occurring condition qualifies, psychiatric PMBs under a single admission. For most patients, this means no copayments beyond the upfront R1,850 admission fee.
The exact scope of cover depends on your specific scheme and benefit year. Our admissions team will verify your benefits and submit for pre-authorisation before admission, so you know what to expect before committing.
or call 011 787 9142 to confirm your benefits directly.
Note: Gambling addiction is not covered under PMBs. Cover for gambling treatment depends on whether a co-occurring psychiatric condition qualifies under your scheme’s psychiatric benefits. Contact our admissions team to discuss your specific situation.
Yes, as a dual-licensed psychiatric hospital, Houghton House can claim under both addiction PMBs and psychiatric PMBs for patients with co-occurring conditions that qualify under psychiatric benefits. This can result in broader coverage for eligible patients. The admissions team can confirm what your specific scheme covers.
You don’t need a diagnosis or a confirmed addiction to reach out. The admissions team can help you make sense of what you’re observing and whether it points to a problem worth addressing. The conversation is confidential and carries no commitment to proceed.