Why Get Medical Gap Cover from Old Mutual?

December 18, 2021

You might be asking the question – why get medical gap cover from Old Mutual? They started in 1845, and this fantastic record speaks of doing something good and worthwhile. Their Medical Aid and Medical Cover are integral parts of Old Mutual.

The medical insurance side of Old Mutual consists of 2 types of cover.  These are Medical Gap Cover and Hospital Cash Plan. Significantly, their gap cover product takes care of those shortfalls which exist when your medical aid doesn’t pay medical treatments in full.

Why Get Medical Gap Cover from Old Mutual?

You can count on Old Mutual to offer up to R500 000 annual cover as well as up to 4 x NHRPL in the event of in-hospital medical and surgical treatment and out-patient treatment by chemotherapy or renal dialysis.

Why Get Medical Gap Cover

The cover is provided for each calendar year up to R100,000 per event and up to a maximum of R500 000 per family. Costs for Old Mutual Medical Gap Aid and Cover is approximately R120 per month, and this covers both the holder of the policy and their family.

You might be in for a shock as to what the difference in costs is!

You may have believed that your medical scheme covered you 100%. But you might never have given any thought to the fact that some hospitals and specialist bills far exceed medical aid tariffs. And you might have forgotten to read the small print when you signed up for your medical aid. The scary thought is that sometimes the gap cover could account for up to 75% of your total bill!

Who gets the cover with Old Mutual’s Gap Cover?

  • You, as the principal member
  • Your spouse
  • Children registered as dependents.
  • Anyone under 60 years, who is the principal member may apply.


Why Get Medical Gap Cover from Old Mutual?

So how much cover can you expect? This is provided every calendar year up to R100 000 for every insured event. And it subject to a R500 000 limit for an insured family. For about R130 every month, you and your insured family can receive the Old Mutual Medical Gap Cover.

Who gap cover is for and why you need to get it as soon as possible

If you are under 60 years old and you are the principal member of a medical scheme, then you can apply. But once you reach 75-years old, the policy will end.  Usually there is a three-month waiting period before benefits will apply. This waiting period will be waived should hospitalisation be caused by an accident which happened after commencement of the cover. But it is highly recommended that you consult with a financial adviser or a broker for more detailed information on gap cover.

There is far more to gap cover with Old Mutual. You can request their gap cover brochure which is easy to read and outlines the conditions and benefits of the product.  However, there may be other information that you are looking for and which hasn’t been included and for this reason it is wise to consult a financial adviser for more detailed information.

You can contact Old Mutual on 0860 101 233 or visit them at  www.oldmutual.co.za

Medical aid members can get a FREE gap cover quote here. Please complete and send the form on this page

All info was correct at time of publishing