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^ GapCover is a scheme designed to help eliminate or reduce your Out Of Pocket expenses for in hospital specialists’ charges. Doctors can choose to participate on a per claim, per treatment and per patient basis. You may be treated by more than one doctor (eg. surgeon and anaesthetist) and participation is at each individual doctor’s discretion. GapCover doesn’t apply to diagnostic services, out of hospital medical services and services not included under your policy. GapCover doesn’t apply to excesses and/or co-payments. Out of pocket costs may still apply. Please refer to the Going to Hospital Brochure or contact us on 132 331 for more information.
* There may be out-of-pocket expenses associated with outpatient appointments, such as your initial visit with a participating surgeon in their consulting rooms. If a member has chosen an excess or per-day payment on their cover to lower their monthly premium, this will still be payable (for example, if you’re claiming for the first time that calendar year, you may need to pay an excess).
While we hope you find this information helpful, please note that it is general in nature. It is not health advice, and is not tailored to meet your individual health needs. You should always consult a trusted health professional before making decisions about your health care. While we have prepared the information carefully, we can’t guarantee that it is accurate, complete or up-to-date. And while we may mention goods or services provided by others, we aren’t specifically endorsing them and can’t accept responsibility for them. For these reasons we are unable to accept responsibility for any loss that may be sustained from acting on this information (subject to applicable consumer guarantees).
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