Many people who have a basic medical scheme and take out Gap cover believe they are completely covered, but this is not always the case. Gap cover is designed to cover the shortfall between what your medical scheme pays and what is charged by private doctors or hospitals. For example, if a specialist visits you in hospital and charges you R1 000 and R600 is covered by your medical scheme, your gap cover would pay R400 – or so you ...
Three Reasons Why You Need to Take Out GAP Cover
There are probably 50 reasons why you should take out GAP cover, but here are three of the most important ones: GAP cover will take care of the shortfall of specialists’ fees with an in-hospital procedure. Specialists always charge more than medical aid rates so there is always a shortfall. If you haven’t got GAP cover, you are liable for the payment of the shortfall – and it could be a very hefty sum. Some hospitals and comprehensive medical plans ...
The Most Common GAP Cover Frequently Asked Questions
GAP cover was recently introduced into the healthcare scenario in South Africa. It’s a welcome advance in financial protection for the patient, but unfortunately, its marketing has been sadly lacking so not many people know what it’s all about. Many don’t know it even exists. ...
The Five Biggest GAP Cover Companies in South Africa
There are 20 GAP cover companies that have been identified as the top providers, offering some 84 different plans. The top five for under-65s, individuals and families, have been whittled down to the following: Sanlam Comprehensive GAP cover. Absa Gold. Zestlife Universal. KaeloXeulus Fusion. Ambedown GAP Select and Supreme. The top best companies for over-65s, individuals and families are: Absa Gold. Zestlife Universal. Ambedown GAP Select. KaeloXeulus Fusion. Sanlam Comprehensive GAP cover. It would pay you to hunt around and ...
What Is Covered Under A GAP Cover Policy?
A GAP cover policy is designed for members who belong to a medical aid society already. It covers shortfalls in hospital cover where surgeons, anesthetists, scanning specialists and other in-hospital procedure personnel charge more than medical aid rates.In most instances, and depending on the medical aid you are with, you are left with bills that you never thought you’d have to cover. Medical aid will only cover a certain amount, and there is an amount over which you must come ...
What Is GAP Cover And How Do I Qualify?
GAP cover is an added medical aid product that can be used in the event of additional costs for a hospital procedure or emergency surgery. There are four vital points to remember with GAP cover. It can only be taken out if you belong to a medical aid already. It can only be used for in-hospital procedures. There is a three-month waiting period before GAP cover kicks in. If your add-to medical aid package, for instance, an additional package to ...
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