Facts About Gap Cover Insurance

December 16, 2021

We are here to give you the facts about gap cover insurance.

No medical aid scheme can guarantee you 100% cover. That’s because their tariff rates fall well below the level of today’s medical treatment costs.

Without Gap Cover – a form of short-term top-up insurance – many South African families face financial ruin if disaster happens. Say you experience unexpected illness or emergency situation needing immediate hospitalization and treatment. You could be in deep financial trouble.

Generally, the costs involved with treatment, hospitalization, chronic medication and doctor and specialist appointments are way out of the reach of most South Africans but Gap Cover provides the solution to insuring your healthy future and those of your loved ones.

Facts about gap cover and your medical aid scheme

It’s the old adage of if you can’t beat them, join them. And that’s exactly what most large medical schemes in the country, like Bonitas and GEMS, have done. This is normal medical aid cover. But insurance companies offer medical aid members the option of supplementing their cover with a top-up Gap policy.

Facts About Medical Gap Insurance in South Africa

This form of short-term insurance fills the gap between what your medical scheme is prepared to pay for hospital procedures and treatments and what you are actually billed by the medical profession. Today, often the final bills to reach three to five times more the amount stipulated by medical schemes. That leaves the medical aid member with a horrendous financial shortfall.

The beauty about Gap Cover is that it is generally affordable with monthly premiums below R400. That depends on the level of cover taken and the number of beneficiaries added to the policy.

The Facts – Are there any restrictions?

Only people with medical aid insurance qualify for Gap Cover. Also there may be some age restrictions. But once you have a Gap Cover policy you are entitled to change your medical aid scheme provider without any loss of cover on your short-term policy. You can also add your family members and with some insurers your extended family members, to your Gap Cover policy.

The Facts – What are the real benefits?

The real benefits of Gap Cover are that it gives you and your family peace of mind in the knowledge that all your medical needs will be taken care of with no additional hidden costs in the event of hospitalization or another medical emergency. The last thing you want to face is a crippling medical bill, not covered by your medical aid scheme, while you or someone you love lies in a hospital bed.

The Facts – Get your FREE Gap Cover quote today

If you belong to a South African medical aid scheme then you can obtain a FREE Gap Cover quote by completing this online form and supplying all the necessary details.

The range of benefits of a Gap Cover policy will vary, depending on the cover taken, so ensure that you discuss your family needs in detail with your prospective insurance provider.

Complete and submit the form on this page. We will get back to you with a gap cover quote

All info was correct at time of publishing