Zestlife Medical Shortfall Cover Explained

November 20, 2024

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 costs as stipulated in their ceiling limits, many medical professionals charge up to 500% above medical rates.

To qualify members must belong to one of the following medical schemes:

• GEMS medical aid
• Bonitas medical aid
• Liberty medical aid
• Discovery medical aid

 

 

Zestlife also offers:

• Family packages, provided that each dependent belongs to the same medical scheme
• Stipulated in-hospital dental procedures
• Cover for pregnancy and pre-existing conditions, subject to a 12 month waiting period

 

Zestlife medical shortfall cover claims 

Give claims within six months of in-hospital procedures, together with relevant admission and medical scheme paperwork. Payment is made within 14 working days directly to the primary policy holder’s account.

Zestlife cover does not fall under the Medical Schemes Act of 1998 and is therefore not tax deductible.

For peace of mind to finance unexpected medical costs and more information, visit:

 

For a free gap cover quote, fill in the form on this page

All info was correct at time of publishing