Claim reasons

Co-payment required

The scheme says part of the cost is yours to pay under its rules.

Build my letter

Words you might see
  • “a co-payment has been applied”
  • “co-pay”
  • “deductible”

Questions to ask

  1. Which rule provides for the co-payment applied to this claim?
  2. How was the amount calculated, and against what base?
  3. Does that co-payment apply where the service is a Prescribed Minimum Benefit, and how was that assessed?
  4. Please provide the co-payment schedule for my option as it stands this year.
Details to have ready
  • Whether the co-payment was disclosed to you before the service.

All claim reasons

Pryse is not a law firm and does not act for you. Nothing here is a determination of your rights or legal advice, and no registered scheme rule is quoted. The questions ask your scheme to provide its own.