Gap cover is a lifeline of hope for South African medical aid members. Zestlife gap cover removes a lot of medical aid uncertainty. It will pay for that amount which occurs when a medical doctor charges beyond what your medical aid will pay.…
Medical Gap Cover for Community Health Medical Schemes You badly need gap cover for community health medical schemes if you’re a member of a medical scheme. You can’t buy gap cover without belonging to a medical scheme. It isn’t medical cover but rather…
Fortunately, the insurance industry fought back so hard that the proposed legislation means that medical gap cover will still be around in an altered form. Here is the story about why the South African government wants to ban medical gap cover. Why the…
Medical aid co-payments tend to be one of those little things that sneak up on you. The chances are that you won’t even know about them until you get the bill. And then it’s too late – you are on the hook for…
Admed gap cover was designed to provide shortfall cover. It means the insurance pays out in the event of your hospitalisation where you require emergency medical treatment, specialists or surgery. Shortfall insurance insures various procedures performed on an outpatient basis. Often specialists such…
In South Africa, medical boards set medical scheme tariffs for the whole country. The idea is to provide a fair payment for the medical professionals and the patient. Unfortunately, this is not always the case. What may seem fair to a doctor in one area…
You must have heard about gap cover for Genesis Medical Aid by now. So what is gap cover? The basic idea is gap cover insures you for shortfalls in specialist treatment costs. Even if you have a medical aid plan or a hospital…
Essential medical shortfall insurance Cover pays the shortfall when doctors charge more than medical aid rates. Most medical aid schemes in South Africa do not fully cover hospital and medical practitioner fees, often creating unexpected financial burdens. So Essential Gap Covers those unforeseen…
Zestlife medical shortfall cover is for in-hospital and certain outpatient procedures that medical schemes don’t fully cover. When medical practitioner fees exceed medical scheme limits, Zestlife pays the difference by up to 500 percent. While most medical aid schemes cover 100% of specialist…