Top 5 Medical Gap Cover Companies in SA

    Which are the top 5 medical gap cover companies in South Africa?

     

    When it comes to paying your medical bills, you cannot always rely on your medical scheme paying the full amount. When the supplier charges a rate that exceeds medical standard tariffs, you could be left holding the bag for that extra amount.

    Fortunately, gap cover provides an affordable way for you to make allowances for this debt. In this post, we will look at the top 5 companies offering this insurance in South Africa and see what they offer. One thing that all these companies have in common is that they are well-established and offer products that are outstanding.

    …. and the winner is….

    1st of the Top 5 – Zestlife

    The premiums you pay with Zestlife are age-dependent.

    Zestlife Essential Gap Cover

    Under 55 years old: R245 per month for individuals

    55 to 64 years old: R307 per month for individuals

    65 years and over: R351 per month for individuals

    Top 5 Medical Gap Cover Providers in South AfricaThere are a range of extra add-ons that you can select, such as dentistry cover for R259 per month.

    There is no maximum age for acceptance and no limits in terms of the number of children that are covered.

    Cover is up to 500% and there are a range of additional benefits such as disability cover. The annual limit per person is R150 000 on the medical shortfall cover part of the policy as per Governmental regulations for all Gap providers. This is set to increase in April 2018.

    You can also choose to add extra cover so that your medical aid premium is paid up to the amount of R6500 for up to two years in the event of death or disability.

    2nd of the Top 5 – Complimed

    Complimed offers two products:

    Gap Supreme for R335 per month: This is the more comprehensive product.

    LPE Advanced for R230 per month: This cover is for you if you are on a Discovery Key Care plan.

    The Supreme plan pays out when you have reached your sub-limits, when you are admitted to casualty and when you are required to pay a co-payment. Included is cover for oncology-related co-payments and a premium waiver benefit.

    Cover is up to 500% and an annual overall limit of R150 000 per person.

    3rd of the Top 5 – Stratum

    There are six different options when it comes to Stratum. The Base 500 allows for a 500% limit on payments.

    The most basic cover, Hospital Extender costs R95 per month. The cover levels increase with each product, culminating in the Elite benefit that costs R320 per month.

    Your chosen plan will determine the level of cover that you receive.

    4th of the Top 5 – Sanlam Gap Cover

    Sanlam’s Comprehensive cover is R198 per month, if you are under 60 years of age. People aged 60 or over will pay R400 per month.

    Cover is up to 500%. You get a range of benefits such as co-payment cover, oncology benefits, etc.

    5th of the Top 5 – Turnberry Gap Cover

    Turnberry covers you no matter which medical aid you belong to.

    Cover is up to 500%. Additional cover that makes Turnberry different is that you receive cash back from day three of your hospital stay.

    You may also choose to include travel cover of up to R5 million.

     

    To get a gap cover quote from a top provider, please complete and submit the form on this page