The scheme’s certificate stops at code 4020. We build what it cannot see.
Every medical bill paid privately and never submitted to the scheme is invisible to SARS. A medical year on SecureSlip turns a shoebox of receipts, invoices and bank statements into a verified claim under code 4034, whether the year belongs to your client or to you.
Three codes, and only two arrive by themselves.
A medical expense claim is made up of three SARS codes. Two arrive on a PDF from the scheme every July, because the scheme saw those amounts. The third only exists if someone works a year of receipts against what the scheme already knows about. That reconciliation is the product: candidate pool minus certificate overlap equals the claim, checked in whole cents.
Paid to the scheme
The year's contributions. Printed on the tax certificate, so it is the easy one.
Already on the certificate
Claims the scheme processed but did not pay, including the self-payment gap and upfront deductibles. Printed, if you know where to look.
Found by nobody, unless someone looks
Every invoice and till slip paid privately and never submitted to the scheme. It never entered the claims system, so no certificate lists it.
A pack SARS can check without phoning anyone
The pack is built for a reviewer at SARS: numbered, cross-referenced and compressed so every file fits under the 5 MB upload limit. Each schedule line points at its source document and, where one exists, at the bank debit that paid it.
What is in the pack
- Cover lettercase number, taxpayer details, what is enclosed and why
- ITS3(a) certificatesthe scheme tax certificates, combined into one file
- Code 4034 schedulethe itemised expense schedule, as PDF and CSV
- Source documentsevery invoice and slip, labelled and stamped, split under the size limit
- Annotated bank statementseach claimed payment marked on the statement it came from
- Proof of relationshipwhen a dependant's expenses need it
Have gap cover? We need that statement too.
SARS only allows medical expenses you couldn't recover from anywhere else. If your gap insurer (Sanlam Gap, Turnberry, Stratum, Discovery Gap, Kaelo or similar) paid you back for any expense, that amount must be subtracted from your claim. That is why your gap policy's annual claims statement is part of a correct pack. While we're in there, we also flag anything you can still claim from your gap policy before its submission window closes: recovering 100% from your insurer beats a 25% to 33.3% tax credit every time.
The figures are one real, SARS-verified case, and every year is different. Read the full story on the about page, check your own year with the free estimator, or see who qualifies and what it costs.