Co-payment cover is for the co-payments, excesses or deductibles imposed by a medical scheme for specified procedures, cover for hospital admission fees, scans, or surgical procedures. Co-payments related to cancer are catered for in the Cancer Benefit.

Options

Ultimate Gap | Plus Gap | Gap Assist | Gap Liberal | Gap Core

 Exact with Gap and Copay 

Benefit description:

This benefit provides cover for the penalty fees imposed by your Medical Scheme when making use of an out-of-network hospital (non-DSP). 

Important points to consider:

• This benefit only covers fees imposed by your Scheme, co-payments levied by a provider directly are not covered.
• Penalty fees are paid to the hospital upfront and then claimed back from Sirago.