Gap Cover Info

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One of the biggest nightmares facing South Africans who have medical aid cover is the shortfall they have to pay themselves for hospital treatments.

So many unsuspecting medical aid members believe they are covered for 100% of the cost of hospitalisation.

After all, that is what is stated on their medical aid policies.

What they do not know is that medical schemes work according to a set tariff rate.

Members of the medical profession, on the other hand, are under NO OBLIGATION to stick to those rates.

In fact, it is now common practice for the medical profession to charge patients up to 500% MORE than the tariff paid by their medical schemes.

Who is responsible for payment?

The policyholder is responsible for paying in the difference between what their medical schemes allow and what medical professionals and hospital charge.

So this can have huge financial impacts on cash-strapped families.

 

Zestlife’s solution – Get a Zestlife quote

Zestlife has the solution in the form of Gap Cover.

Clients have the choice of two policies:

The Universal

 

The Essential

 

What do a Universal policy or an Essential policy cost every month in 2025?


Optional extras – Get a Zestlife Quote

Clients also have the option to add extra cover to their policies for cancer, medical premium waiver cover and dentistry procedures.

Who qualifies?

Only members of medical schemes are eligible for Gap Cover

How do I apply? – Get a Zestlife quote

Complete the form on this page to get a Zestlife gap cover quote

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