Co-payment cover is for the co-payments, excesses or deductibles imposed by a medical scheme for specified procedures, cover for hospital admission fees, scans, or surgical procedures. Co-payments related to cancer are catered for in the Cancer Benefit.
Ultimate Gap | Plus Gap | Gap Assist | Gap Lite | Corporate Comprehensive | Corporate Base
Gap Only | Exact Cover | Exact with Gap and Copay |
This benefit provides cover for the penalty fee imposed by your Medical Scheme when making use of an out-of-network hospital (non-DSP).
Important points to consider:
- Only covers fees imposed by your Scheme, co-payments levied by a provider directly are not covered.
- Penalty fees are paid to the hospital upfront and then claimed back from Sirago.