This benefit covers the shortfall resulting from the voluntary use of a non-designated service provider for planned procedures except in the event of an emergency.



Options

Ultimate Gap | Plus Gap | Gap Assist | Gap Lite | Gap Only | Corporate Comprehensive | Corporate Base

Exact Cover | Exact with Gap and Copay


Benefit description:


This benefit provides cover for non-emergency PMBs and voluntary use of a non-designated service provider for PMB procedures normally covered in full by the scheme.


Important points to consider:

  • Emergency Prescribed Minimum Benefits (PMB) are to be paid in full by your medical aid. 
  • Should your medical aid not cover your emergency PMB and Sirago rejects the claim, kindly refer to our MedCare benefit to assist you in resolving the claim.