Claims FAQ's

What are the requirements to submit a claim?
To submit a claim we require a completed Sirago claim form and the required documents be submitted. For more info on how to submit a claim, please click her...
Tue, 25 May, 2021 at 2:42 PM
Will Gap cover pay for everything that my medical aid does not pay?
Gap provider benefit for the difference between the register professional provider’s tariffs and the scheme’s payment (first 100% scheme rate), therefore we...
Tue, 25 May, 2021 at 2:43 PM
Can I get pre-authorization from my Gap cover for my operation?
Please note that pre-authorization may not be provided as we are not a Medical aid. This is not a medical scheme and the cover is not the same as that of a ...
Tue, 25 May, 2021 at 2:43 PM
What are the requirements to submit a claim?
To submit a claim we require a completed Sirago claim form and the required documents be submitted. For more info on how to submit a claim, please click her...
Tue, 25 May, 2021 at 2:44 PM
Will Sirago cover costs for procedures performed overseas?
Gap cover only provides benefit for treatment provided within the borders of South Africa.
Tue, 25 May, 2021 at 2:44 PM
If I get a discount on my doctor's account, will Sirago cover me for the discounted amount I received?
No, as the discount amount that we have negotiated with the doctor will be written off and not due for you to pay the provider.
Tue, 25 May, 2021 at 2:45 PM