From 1st May 2017, Medibank and AHM made changes to the terms and conditions for participation, in their GapCover scheme.
Important changes to Medibank Private no-gap and known-gap T&Cs
A summary of these changes:
- The provider agrees that they will not charge a member any other fees related to the episode of care for which a No Gap or Known Gap claim is made and there is no Medicare rebate for that service – such as a ‘booking fee’ or ‘administration fee’, whether arranging for the members admission to hospital or otherwise;
- Several instances of changes to wording to more clearly articulate terms and outcomes of breach of terms;
- Requirement to provide an email address; and
- Changed wording for clarification around publication of participating providers
A full copy of the terms, are available for you here.
Margaret and the Synapse team
