To claim against your Cinagi gap cover benefits you need to complete this form and attach all the relevant claim documents once prompted.
The supporting documentation that will required is as follows and can be uploaded online while completing this form:
Claims are processed continuously and are paid 3 times each week.
Once we have finalised your claim we will issue you with a claim remittance via e-mail.
Important : Claim Documentation
Cinagi can’t start with the assessment of your claim until we have received a fully completed claim form and all the relevant supporting documentation.
Please contact us if you need any assitance.
Maximum number of entries reached.
This needs to show how they have processed and paid the above doctor’s account.
This is also called the ‘claims transaction history report’ which can be downloaded by logging into your medical scheme portal and then clicking on ‘your medical claims’.
Please note that we cannot use the summarised statement that gets automatically e-mailed to you for processing gap cover claims. Please follow the following quick steps to download the correct document required for submitting your gap cover claim:
Step 1: Go to: https://www.discovery.co.za/portal/index.jsp and login using your username and password.
Step 2: On the top menu bar, select “MEDICAL AID”.
Step 3: At the bottom left in the drop down menu, click on “Medical Claims”.
Step 4: Click on the 3rd block that reads “Download a claims document”.
Step 5: Click on the 2nd option on the right that reads “Claims transaction history”.
Step 6: Once selected you can specify the date range in the “Transaction history criteria ” section. This range will need to include the date of when your procedure/treatment occurred.
Step 7: Once you have entered the correct dates, select “Show the results in a printable and downloadable PDF document” and then click Submit.
Your browser will then download a PDF document which you can upload to us in order to process your gap cover claim.
Where applicable, we will pay your doctor directly. If you have already paid your doctor, we will refund you.
By providing the information in this form you agree that Cinagi (Pty) Ltd and its underwriter, Infiniti Insurance Ltd may :
You further agree that:
You also acknowledge that that you have read and agreed to the Cinagi Privacy Statement and the contents thereof.