Your medical scheme may apply a sub-limit on certain in-hospital medical procedures, prosthetic devices, length of stay in a mental health institution, rehabilitation, step-down or sub-acute facility. We will cover the shortfall once you have reached the sub-limit up to a maximum of R35 000 for each person per annum.
This benefit covers:
- Additional cost, incurred by the insured once the sub-limit has been reached for a procedure or prosthesis.
- The cost of an additional 5 days in a mental health institution, rehabilitation, step down or sub-acute facility.
This benefit will be subject to a maximum of R35 000 per insured per annum. Amounts paid under this benefit will be subject to the overall annual limit per life insured.