Gap Cover for Medihelp Explained

December 18, 2021

In the world of medical aid schemes and hospital plans with regard to what they will and won’t pay can be confusing for the layperson. Gap cover for Medihelp makes it simpler.

Medical Aid schemes are pretty good when it comes to paying out standard medical aid rates.

The problem is that not all medical professionals charge medical aid rates.

In fact, there is no legal requirement that they do so. Most, in fact, see medical aid rates as the very minimum guideline. Most charge double or triple these rates.

Gap Cover for Medihelp to Help you out Of a Financial hole

So, where does that leave you? That means you end up paying at least half the bill which can be a costly exercise. And what happens if you aren’t able to pay that extra?

You can, however, protect yourself from this happening by taking out gap insurance.

Gap Cover for Medihelp

What is Gap Insurance?

Gap insurance is not a medical aid or hospital cover. It works independently of both.

With gap insurance, you can claim for any shortfall between the amount that you are liable for and the medical aid rates.

Some people believe that if they have hospital cover, they don’t need anything else. The problem is that most hospital plans impose very restrictive conditions.

You might have to spend a certain amount of time in hospital before you can claim. In the meantime, you are racking up bills waiting for the hospital plan to kick in.

Most hospital plans will also have relatively high deductibles. This could also see you financially short.

Medical aid and hospital plans usually have more restrictive annual limits in place than gap covers would.

Gap Cover for Medihelp – Who can Apply?

Anyone who is an up to date member of a registered South African medical aid scheme and who meets the requirements in terms of age.

What does Gap cover Not Cover?

That will depend on whether or not you have taken a comprehensive plan or a basic plan. Generally, though, elective cosmetic procedures are not covered.

You are not covered if the excess is due to you not following the proper procedures when claiming from your medical aid

There is a set waiting period before you are able to claim. In the event that you have an existing medical condition, you would have to wait about a year for cover to come into effect.

How Expensive is the Cover?

This is an affordable product and you get insurance that fits your budget. Should you want to spend a bit more, you can set up a higher level of insurance.

My Medical Aid doesn’t offer Gap Cover

Gap cover is completely separate to your Medical aid so you can deal with whatever company you want when it comes to gap cover. The two products are completely separate.

To get a FREE medical gap cover quote, just complete and send the form on this page

All info was correct at time of publishing