Co-Payments

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Have you been caught off guard by an unexpected co-payment before admitted to hospital for a procedure?

Most medical schemes have introduced co-payments on a list of specified medical procedures.  These co-payments are typically applied to the following procedures:

  • Endoscopic procedures –  gastroscopy, laparoscopy, sigmoidoscopy
  • MRI/CT scans
  • Dental procedures in hospital
  • Spinal surgery
  • Co-payment on oncology treatment once you reach the limit
  • Hospital admission fees

Co-payments can vary from R900 to R20 000, depending on the medical scheme option and procedure.

Paying a monthly premium of R200 – R400 for a Gap Cover product can protect your household budget against these unexpected expenses and save you money in the long run.

EXAMPLES OF LISTED CO-PAYMENTS

 

SCHEME PROCEDURE LISTED CO-PAYMENT
Scheme A Gastroscopy in hospital R4 650
Scheme B Gastroscopy in hospital R3 850
Scheme A MRI/CT Scans R3 040
Scheme B MRI/CT Scans R1 650
Scheme A Spinal Surgery R17 900
Scheme B Spinal Surgery R10 400
Scheme A Dental treatment in hospital R6 800
Scheme B Dental treatment in hospital R3 300

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Protection of Personal Information Act (POPIA) Declaration By providing the information in this form you agree that our fulfillment partner may contact you to provide you with the necessary advice. Your personal information will be stored in a secure encrypted manner and will not be sold or disseminated to any third party without your explicit consent.