Advantages:

– Similar to Gap Cover, CoPay Cover is a stand-alone product which could be combined very well with any medical aid. As previously mentioned, most medical aids do have specific co-payments for certain procedures, so in most cases there would be a shortfall in the patient’s medical bill.

– With minimal effort, and great turn-around times CoPay Cover is a perfect add-on product which means that clients get better service & cover.

– R85 / month will cover a family of five members. The annual premium would thus be R1,020 which means that if the insured claims only once, the cost of the product for a year would be covered.

– Gap does not cover your co-payments therefore CoPay Cover is an ‘essential’ product to introduce into your basket.

– Families with children would find this exceptionally beneficial with procedures such as grommets, tonsillectomies, adenoidectomies and much more on the procedure list.

– Administration is done primarily by the RU offices which means a smooth application and claims process for clients.

– There is no maximum entry age.

– For large groups (300+) concessions and preferential underwriting could be negotiated.

– A stated benefit is paid into the insured’s account, so any extra amounts received by the insured could be used for unforeseen medical costs.

FAQ’s:

How does the payment procedure work?
CoPay Cover is a product that will pay a stated benefit according to procedures listed in the table of benefits. If the claim is approved, the stated benefit will be paid in full into the insured’s bank account.

Would CoPay Cover pay for a gastroscopy in the doctors’ room?
No, CoPay Cover is for procedures done in-hospital only.

Can this be used with any medical aid?
Yes

Will you cover my copayment in full?
We pay a pre-determined stated benefit according to your medical aid

Can I still use my cover should I change medical aid and will I have new waiting periods?
Yes you can and there will be no waiting period as long as your policy is paid up to date and older than 3 months

As of when will my policy be active?
From your first debit order

When and how do I receive my policy document?
You will receive your policy document after your first debit order has successfully gone off and it will be sent to you in the post.