A co-payment is the amount you pay when the scheme does not cover a service in full — because of a tariff shortfall, a benefit limit, use of a non-network provider, or a rule attached to the option. Ask the clinic for the expected co-payment in writing for each element of treatment.
Also known as: co-pay, shortfall, levy
Related South Africa guides
Sources
- Council for Medical Schemes (South Africa)
Last reviewed: 8 September 2026. Written by the Antega Editorial Team. General information only — always follow the advice of your own clinic, doctor or pharmacist.
