Zestlife Gap Cover 2019

    November 26, 2018

    Zestlife gap cover – the leading gap cover product in SA for medical aid members – has announced its 2019 policy enhancements

    Zestlife Gap Cover 2019 – Zestlife Universal option

    • Overall regulatory maximum for medical expense shortfall cover increased from R150 000 to R160 000.
    • Cancer lump sum increased from R25 000 to R30 000.
    • Casualty benefit increased from R10 000 to R20 000. Casualty visit must be within 48 hours of the accident.
    • Medical Aid and Gap Cover Premium Waiver maximum increased from R6 500 toR7 300.
    • Medical Aid and Gap Cover Premium Waiver limited to accidental only, but the payment period increased from 3 to 12 months. This change was due to legal requirements.
    • Accidental dentistry maximum increased from R15 750 to R19 250 and amount per tooth increased 2019 Zestlife Gap Cover Enhancementsfrom R2 250 to R2 750.
    • Non-Designated Service Provider co-payment increased from R8 600 to R9 300.
    • Oncology co-payment maximum increased from 20% to 25%.
    • Cover for robotic procedures up to R30 000.
    • Cover for procedures in day clinics.
    • New Oncology Benefit to cover 20% of treatment cost when oncology limit is exceeded.
    • Varicose veins have been added as an out-of-hospital procedure that is covered.

    Zestlife Gap Cover 2019 – Zestlife Essential option

    • Casualty benefit increased from R10 000 to R20 000. Casualty visit must be within 48 hours of the accident.
    • Robotic procedures are covered up to R30 000.
    • Procedures in day clinics are covered.
    • Varicose veins have been added as an out-of-hospital procedure that is covered.

     

    Complete and submit the form on this page to ensure you have Gap Cover in 2019.
    Note: this product is for members of registered medical schemes only.

     

    All info was correct at time of publishing