Admed Medical Shortfall Cover has been specially designed by Guardrisk to finance shortfalls – or Gaps – for stays in hospitals that involve medical treatment or surgeries.
It also covers specified procedures undertaken as an out-patient.
However, Admed Medical Shortfall Cover does not act as a replacement for medical aid cover or cover shortfalls between charges imposed by doctors and payment ceilings imposed by medical schemes.
Admed offers two products – the Supreme Gap and the Primary Gap.
What Admed Medical Shortfall Cover includes
The Supreme Gap’s comprehensive benefits include cover for:
- Shortfalls in medical practitioner costs (including Prescribed Minimum Benefits)
- Co-payments or deductibles imposed by your medical schemes for certain procedures
- Co-payments levied by medical schemes for oncology treatments
- Ongoing oncology treatment costs once medical plan benefit limits have been reached
- Lump sum benefits for first-time cancer diagnosis
- Shortfalls for the cost of internal prosthesis
- Accidental death and permanent total disability benefits
- A lump sum payment for long-term hospital stays
- Fixed benefits for dental work resulting from accidental injury
- Also, the cost of casualty visits
Admed’s Primary Gap option is less expensive and offers:
- Cover for shortfalls in medical practitioner costs, but not for Prescribed Minimum Benefits
- Cover for co-payments and deductibles imposed by medical schemes for certain procedures, but not for Prescribed Minimum Benefits
Guardrisk is a company that prides itself on fair treatment and strives to exceed their customers’ expectations.
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