Major Medical Benefits:

• Gap Cover: Covers the the short-payment by your Scheme for In-Hospital treatment.
• Co-Payment: Covers the excess amount imposed by your Scheme for undergoing a specific procedure.
• Admission Fee: Covers the amount imposed by your Scheme if you are admitted as an in-patient.
• Penalty Fee: Covers the penalty fee imposed by your Scheme when you are admitted to a hospital not part of the approved network.
• Appliance Benefit: Provides cover for any short-payment by your Scheme for a list of medical appliances.
• ER Benefit: Covers an unexpected event that requires immediate medical attention in an Emergency Room. 
• Hospital Account: Covers amounts charged by the hospital and not paid by your Scheme.
• Day Hospitals: Provides cover for the short-payment by your Scheme for procedures done in a day-hospital that would normally be done in a hospital.
• Sub-Limit Enhancer: Covers internal prosthesis, MRI and CT scans where you have reached your benefit limit as set by the Scheme.

Cancer Benefits:

• Cancer Initial Diagnosis: Lump sum payment in the event that one of the insured persons are diagnosed with cancer as defined in the policy wording. 
• Cancer Shortfall Cover: Covers any short-payment, co-payments or related expenses incurred during treatment of cancer as part of the Scheme oncology treatment plan.
• Cancer Top-Up: Provides additional benefit where your Scheme has imposed a Rand amount limit on your cancer benefit and this limit has been reached.
• Reconstructive Benefit: Covers the the short-payment by your Scheme for reconstruction of the effected breast as well as an additional amount for the reconstruction of the non-effected breast.

Day-to-Day Benefits:

• Primary Care Benefit: Covers short-payment of consultation fees with a GP, dentist or alternative care provider.
• Specialist Consultations: Covers short-payment of consultation fees with a specialist doctor.
• Preventative Care: Covers short-payment by your Scheme for preventative care treatments.

Additional Benefits:

• Accidental Death: Lump sum payment in the event of accidental death of one of the insured persons.
• Gap Premium Waiver: GapX premiums are waived in the event of death or disability of the premium payer.
• Medical Aid Contribution Cover: Pays towards your contributions of your Medical Scheme in the event of death or disability of the premium payer.