2020 Benefit:

Endoscopic examinations:

Paid at three times the Fund’s tariff rate if performed in doctors’ rooms/outpatient/ medical or surgical facilities.

R2 200 co-payment applies if performed in hospital and patient is admitted to a ward.

Anaesthetic costs related to these scopes are limited to local or regional anaesthetic.

General anaesthetic costs are not covered.

Authorisation: 0800 118 666

2021 Benefit:

Endoscopic examinations:

Paid at three times the Fund’s tariff rate if performed in doctors’ rooms/outpatient/ medical or surgical facilities.

R2 300 co-payment applies if performed in hospital and patient is admitted to a ward.

Anaesthetic costs related to these scopes are limited to local or regional anaesthetic.

General anaesthetic costs are not covered.

Authorisation: 0800 118 666