Requirements before submitting a Gap Cover claim

1. Copy of ID
2. Proof of having been hospitalised
3. A hospital pre- authorisation number for the procedure from your medical scheme
4. Your specialist, ie your surgeon or your anaesthetist, having charged a higher rate than your medical scheme reimbursement rate, ie you have a shortfall
5. Your medical aid statement showing your shortfall (Due by you)
6. Gap Cover claim form