A gap payment is the portion of the invoice that is not covered by the customer’s insurance policy.
What This Means
The gap is the difference between:
The total invoice amount, and
The insurance benefit paid
The customer is responsible for paying this amount at the time of the visit. For help on how to process a gap payment, see our help articles here.
What May Be Included in the Gap
The gap payment may include:
The policy excess
Any amount above policy limits (e.g. annual or condition limits)
The portion not covered by the benefit percentage
Non-covered items
Important Notes
All customers are required to pay the gap amount at the time of treatment
The gap amount is determined in line with the policy terms
If the customer has questions about the gap, they must contact their insurer directly (refer to Claim Outcome Enquires)
Need Help?
If you have questions about the gap payments and what is included in it, our claiming support specialist are best placed to assist and can be reached on:
Phone: 1300 838 457
Email: hello@gaponly.com.au