Many people admitted to hospital as private patients can find themselves faced with out-of-pocket expenses, or 'gaps'.
Access Gap Cover (AGC) is a medical gap cover arrangement designed to minimise or eliminate out-of-pocket expenses for medical procedures conducted in hospitals or day surgery facilities as an admitted patient.
benefits for CBHS members
By asking your doctor, specialist or anaesthetist to participate in AGC, your out-of-pocket expenses may be reduced or eliminated for services provided as an admitted patient to a hospital or day surgery facility.
If your doctor, specialist or anaesthetist chooses to participate in AGC, CBHS will then take care of the processing of your medical claims on your behalf, inclusive of the Medicare benefits.
advantages to AGC
- As a patient, you will receive an estimate of doctors fees prior to your treatment
- Doctors may claim directly from CBHS on your behalf (including the Medicare benefit)
- No more Medicare queues
questions to ask your doctor
Listed below are some questions to ask your doctor. Remember that it is up to your doctor whether they choose to participate in the Access Gap Cover arrangement.
- Will you treat me under the Access Gap Cover arrangement?
- Will I incur any out-of-pocket expenses, and if so, can you provide a written estimate of fees?
- Are you able to provide me with the details of any other providers who will be treating me?
- Will you send my account to CBHS directly?
Search for registered AGC participating doctors.