Claims FAQ's
No GapX does not provide a guarantee of payment. We can only assess your claim once you have undergone a procedure and the Medical Scheme has settled their ...
Tue, 23 Jun, 2020 at 4:08 PM
No, we do not require pre-authorisation for a claim to be submitted. Once your Medical Scheme has processed the claim you can submit any shortfall to us to ...
Tue, 23 Jun, 2020 at 4:14 PM
No, unfortunately not. Claims that have been rejected by your Medical Scheme won't be covered under your GapX policy. This excludes claims against...
Tue, 23 Jun, 2020 at 6:35 PM
Yes, any amount charged over and above the medical scheme rate and paid from your medical savings account (MSA) can be submitted to GapX to be assessed in l...
Tue, 23 Jun, 2020 at 6:36 PM
A co-payment is a fixed amount or percentage excess imposed in terms of your Medical Scheme Rules for undergoing a specific procedure whether in or out of h...
Tue, 23 Jun, 2020 at 6:38 PM
Claims can be submitted and tracked on our customer portal. To access your policy on the customer portal you can use the My Policy tab on our website, o...
Tue, 11 Aug, 2020 at 9:06 PM