Sub-limit Enhancer benefit applies when exceeding the benefit limit imposed by your medical scheme on internal prosthesis, intraocular lenses, MRI scans and CT scans only.



Options

Ultimate Gap | Plus Gap | Corporate Comprehensive

 Gap Assist | Gap Lite | Gap Only | Exact Cover | Exact with Gap and Copay | Corporate Base


Benefit description:


Sub-Limits are defined limits your Scheme imposes on certain benefits. The Sirago sub-limit enhancer benefit provides cover for the shortfall after this limit has been reached in relation to internal prosthetics, MRI scan, CT scans and intraocular lenses.


Important points to consider:


  • Only covers shortfall once Scheme sub-limit has been reached, if limit was reached and the claim is rejected by your Scheme, your claim with Sirago will also be rejected.