What is Gap Cover ? Gap Cover is a short-term insurance stated benefit product that covers the difference between the medical aid rate and private rate’s charged by doctors or specialists for in-hospital treatment.
Why do I need Gap Cover ?Most medical aid's in South Africa cover specialists in hospital (i.e. surgeons & anaethetists etc) at the "medical aid rate" or "100%" whereas most specialists in South Africa tend to charge "private rates" or "300%" illustration: Colin Daniel The difference where a specialist charges 300% and the medical aid only covers 100% is two thirds of the specialists bill. So if your specialist charges private rates (300%) and their bill is R30,000 for an operation and your medical aid covers you at medical aid rates (100%) they will only pay the specialist R10,000 and you will be liable for the R20,000 difference. Gap Cover is the solution !By taking our Gap Cover you will have peace of mind that no matter what your specialist charges in the event of you being hospitalised, you will have cover for the portion that your medical aid does not cover. To get a quote on Gap Cover or to sign up please leave your details in the Gap Cover Quote Request form on the right.We offer Gap Cover from the following companies:
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The information contained on this site is not to be construed as advice in terms of the Financial Advisory and Intermediary Services Act of 2002 ("FAIS") as the information provided is of a general nature and may not apply specifically to an individual. Please contact us should you require advice of a financial nature and/or intermediary services.