AFFORDABLE MEDICAL SCHEME COVER
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.
Predictable cover with stated benefits
Flexible cover with medical savings accounts
Mixed benefit structures
Best of both worlds with savings accounts + stated benefits
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 protects you against benefit shortfalls where your doctor charges more for an in-hospital procedure than what your medical scheme will pay.
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
PMB cover + Emergency room benefit + Premium Waiver
Optional Dentistry & Optometry cover
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!
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
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.
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
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
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