Primary Care cover provides benefit for the difference between what the medical scheme pays and the provider charges for the consultation fee only. This includes: * Dental Consultations *Alternative therapist consultations: Chiropractors, Physiotherapists, Biokineticists, Occupational therapists (including ICD-10 Codes F80 - R89 - refer to the definition clause for the full description), Homeopathy and Audiologists recognised and paid for by the medical scheme chosen option * GP Consultations
Options
Ultimate Gap
Benefit description:
This benefit provides cover for the difference between what a primary provider charges for a consultation and what your Scheme pays.
Payment is dependent upon the medical scheme paying a portion towards the consultation fee.
Important points to consider:
- This benefit covers costs related to the consultation fee only and not any scans or tests done during the consultation.
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