Co-Payment, Penalty and Admission fees, what is the difference?

Modified on Tue, 25 May 2021 at 02:11 PM

Co-payments are scheme-imposed amounts that are paid to the hospital upfront based on the specific procedure to be performed. 


Penalty Fees are upfront fees charged when making use of a non-network (DSP) hospital in terms of your medical scheme rules. This amount can be fixed or a percentage of the total bill and is paid to the hospital directly.


Admission Fees are only charged by some medical schemes and are normally a fixed amount based on the procedure to be performed in hospital.

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