The Agility Gap & CoPay product range will ensure that your skilled employees, managers and executives have complete peace of healthcare mind as costly medical scheme benefit shortfalls and co-payments are effectively taken care of. The solution includes varied levels of cover, ideally suited to the different profiles and requirements of your entire workforce.
The Agility Gap product settles the difference between medical scheme rates and what medical professionals charge for in-hospital care. The medical scheme pays the first 100% or more, and Agility Gap covers the rest up to a maximum of 600%.
Why Agility Gap
- No annual limits or sub-limits are applied
- There is no maximum entry age
The Agility CoPay cover product is a must-have for any medical scheme member because it settles a range of co-payments associated with in-hospital procedures. This includes things such as MRI & CT scan co-payments, both in and out of hospital.
Why Agility CoPay
- Co-payments will be covered up to R12 000 per insured per incident
- Each beneficiary can use the benefit up to 3 times per annum
- As a family, you will enjoy cover of up to R120 000 per annum
Agility Gap & CoPay Combined
Why Agility Gap & CoPay Combined
- You have all the benefits of the Agility Gap option with a few handy extras
- You are covered for those often expensive procedural co-payments with an unlimited number of claims per annum
The Agility Gap & CoPay Combined 500 option even provides:
- R25 000 cover if you want to use a surgeon of your choice instead of your medical scheme’s network provider for Prescribed Minimum Benefit (PMB) conditions
- A useful Emergency Room Benefit of R6 000 per annum
Agility Gap & CoPay Ultra
Our Ultimate Cover Option
Agility Gap & CoPay Ultra offers all the benefits of the Agility Combined 500 product as well as additional sought-after benefits for complete peace of mind when:
- Your medical scheme benefits are depleted
- You need additional in-hospital cover
- You need added cover (R35 000 per annum) to use a surgeon of your choice instead of your medical scheme’s network provider for Prescribed Minimum Benefit (PMB) conditions
- You need to cover any penalty co-payments
- You want to include dental and ophthalmology cover
- You need out of hospital cover for specialist consultations
- You need an unlimited number of claims for procedural co-payments
Agility Value-Add Product
Want to make sure you have your dental and optical bases covered as well? Add the Agility Value-Add Product to your cover for extra dental and ophthalmology peace of mind for as little as R25 per month. This cover is already included in the Agility Ultra product.
The Agility Value-Add Product offers policyholders dental and ophthalmology cover for only an additional R25 per month. This cover is already included in the Agility Ultra product.