Hospital Account Shortfalls

Modified on Mon, 13 Jun 2022 at 11:05 AM

The Hospital Account Shortfall benefit will cover any charges on the hospital account that the medical scheme has not paid for items like consumables.


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

 Gap Lite | Gap Only | Exact Cover | Exact with Gap and Copay

Benefit description:

This benefit provides cover for any shortfall on the hospital account not fully paid by the medical aid, including take-home medication, consumables or private ward fees.

Important points to consider:

  • Private ward fees related to childbirth and confinement are excluded from this benefit. Please refer to our Sirago Baby benefit for cover relating to private ward fees for confinement. 

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