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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