Gap Cover Insurance

Introduction to Gap Cover Insurance Advantages of Gap Cover Insurance Gap Cover Insurance Options

Introduction to Gap Cover Insurance

You should never assume that your medical scheme will cover the full cost for operations and procedures done in hospital. Medical schemes pay doctors and specialists at a rate of between 100% and 300%, but the reality is that many medical practitioners charge in excess of these rates which could result in a gap between the actual cost and the amount that the medical schemes pay. You will be held liable for this shortfall. Furthermore, medical schemes may impose upfront co-payments for certain in- and out-of-hospital procedures, depending on your medical scheme option, these co-payments are either payable from your medical savings account or as an out-of pocket expense. With a gap cover policy, these unforeseen medical expenses could be taken care of!

Advantages of Gap Cover Insurance

Our products are compatible with all registered South African medical schemes Our gap cover products enhance medical scheme benefits An additional gap benefit of 500% above the medical scheme rate is provided Certain options provide additional cover for co-payments, including out-patient MRI- and CT scans, enhancer benefits for certain in-hospital sub-limits and additional oncology benefits Gap cover is not designed to assist with day-to-day cover, however it assists with major in-hospital medical expenses

Gap Cover Insurance Options

A choice of different options which cater for an individual or family’s needs; An exclusive option for government employees; and a unique option for corporate employer groups.  
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