HEALTH PRODUCTS

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MEDICAL SCHEME
COVER
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GAP & COPAY
COVER
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EXTRA HEALTHCARE SAVINGS
AFFORDABLE MEDICAL SCHEME COVER
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Whether you’re young, single, and healthy, recently married or growing your family, we have the perfect medical scheme option for you. With 8 options to choose from, you will enjoy excellent value for money and generous benefits that make sure you, and your family, are always covered from every angle.

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Traditional

Predictable cover with stated benefits

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Savings

Flexible cover with medical savings accounts

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Mixed benefit structures

Best of both worlds with savings accounts + stated benefits

 
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EXTRA PEACE OF MIND

 

Nowadays, just having medical scheme cover is not enough. In fact, medical scheme members spent an extra R32.9 billion on their healthcare in 2018 alone. Most of these out-of-pocket expenses are for in-hospital procedures and are often unexpected and unaffordable. Luckily, protecting yourself is as simple as becoming an Agility Gap & CoPay member

WHAT IS GAP & COPAY COVER?

GAP COVER

Gap cover protects you against benefit shortfalls where your doctor charges more for an in-hospital procedure than what your medical scheme will pay.

CO-PAY COVER

Your medical scheme may not cover the full amount for some in-hospital procedures, and you may need to pay a portion of the cost out of your own pocket. CoPay cover will pay these amounts so you don't have to.

THE AGILITY GAP RANGE

The Agility Gap range offers great cover at very affordable rates. From as little as R97 per family per month, these products will pay the difference between your medical scheme rate and what the doctor or hospital charges for in-hospital procedures. Your medical scheme covers the first 100% (or more, depending on your medical scheme option), and we pay the rest, up to as much as 600%! All Agility Gap products include cover at any private facility, as well as great cover for all Prescribed Minimum Benefit (PMB) conditions.

THE AGILITY COMBINED RANGE

The Agility Combined range offers protection on two levels: Firstly, it protects you against benefit shortfalls where your doctor charges more for an in-hospital procedure than what your medical scheme will pay (also known as gap cover). Secondly, it protects you against any out-of-pocket contributions (also known as co-payments) that you may need to pay towards an in-hospital procedure. This type of combined cover is the best way to make sure you avoid those costly healthcare expenses that we’re often unprepared for.

GAP COMBINED 200

200% Gap cover

+

Co-payment cover

+

PMB cover + Emergency room benefit + Premium Waiver

+

Optional Dentistry & Optometry cover

AGILITY ULTRA

Agility Ultra is our top of the range product that not only covers in-hospital benefit shortfalls and co-payments, but also offers a wide variety of extra benefits. This product is an industry leader and, as a member, you can rest assured that unexpected healthcare costs are a thing of the past!

ULTRA

500% Gap cover

+

Co-payment cover (in & out-of-network)

+

Premium Waiver benefit

+

Unlimited cover for PMB conditions + Emergency room + Dentistry & Optometry + Cover for out-of-network hospital visits + Unlimited sub-limit cover + Cover for in-hospital shortfalls + Cancer diagnosis & treatment shortfalls + Out-patient cover + Out-of-hospital consultation shortfalls + Maternity + Premature birth + Trauma counselling

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Agility Gap & CoPay is a division of Agility Insurance Administrators (PTY) Ltd. Products are underwritten by GENRIC Insurance Company Ltd (FSP 43638) GENRIC Insurance Company Ltd is an Authorised Financial Service Provider. Agility Gap & CoPay is a division of Agility Insurance.

 
GAP 200

Boosts your medical scheme rate with an

extra 200% for in-hospital procedures

+

R2 000 cover for PMB conditions

+

R1 000 emergency room cover

+

R1 000 Premium waiver benefit

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EXTRA HEALTHCARE SAVINGS

The Agility Healthcard is a unique and tailormade healthcare savings solution. It works exactly like a debit card with one key difference: You can only use the card for health-related expenses such as doctor’s visits and co-payments or pharmacy purchases. You also have full control over how much you pay into the card every month, making it the ideal healthcare savings mechanism for every need and budget.

  • Save as much as you can afford

  • Resist the temptation of spending your healthcare savings on something else

  • Can be used for any healthcare-related expense

  • PIN protected

  • Can pay out your balance at the end of every year

  • Add more than R40 000 per year to your Healthcard balance with the Agility Rewards Platinum programme

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