GAP COVER

from only R252 per month

GAP COVER

from only R 252 per month

COMPARE OUR PLANS

Private healthcare is expensive, and the reality is that it just keeps getting more and more costly.

Gap Cover is a short-term insurance product that covers the difference between what your doctor or specialist charges and the amount your medical aid pays. Compare our options here.

ENTRY

BENEFIT COVER

From *R 252 p/m for individuals

*Age dependent

BASE is our foundation option.

The key benefit is 500% Gap Benefit with some extras, but if more cover is your thing, like cover for co-payments, internal prosthetic devices and cancer treatment, check out COMPACT300.

Benefit Overview

• 500% GAP BENEFIT
• DENTAL COVER
– GAP BENEFIT
• MATERNITY COVER
– GAP BENEFIT
• RADIOLOGY COVER
– GAP BENEFIT

• CASUALTY BENEFIT
• TRAUMA COUNSELLING BENEFIT
• PAYOUT BENEFITS FOR:
– ACCIDENTAL DEATH AND DISABILITY
– FIRST-TIME CANCER DIAGNOSIS
• LIFESTYLE BENEFITS

MEDIUM

BENEFIT COVER

From *R 276 p/m for individuals

*Age dependent

COMPACT300 is our well-rounded option.

The key benefits are 300% Gap Benefit,
Co-Payment Benefit, Sub-Limit Benefit and Cancer Benefits with other extras, but if more cover is your thing, like specialist consultations, preventative tests, private ward cover and waiver benefits, check out ELITE.

BENEFIT OVERVIEW

• 300% GAP BENEFIT
• CO-PAYMENT BENEFIT FOR:
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• DENTAL COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• MATERNITY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• RADIOLOGY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– SUB-LIMIT | MRI, CT AND PET SCANS
• SUB-LIMIT BENEFIT FOR:
– INTERNAL PROSTHETIC DEVICES
– MRI AND CT SCANS
• CANCER TREATMENT SHORTFALLS
• CANCER TREATMENT TOP-UP
• CASUALTY BENEFIT
• TRAUMA COUNSELLING BENEFIT
• PAYOUT BENEFITS FOR:
– ACCIDENTAL DEATH AND DISABILITY
– FIRST-TIME CANCER DIAGNOSIS
• LIFESTYLE BENEFITS

HIGH

BENEFIT COVER

From *R 404 p/m for individuals

*Age dependent

ELITE is our most comprehensive option.

Besides the key benefit of 500% Gap Benefit, it also offers cover for just about every eventuality.

Benefit Overview

• 500% GAP BENEFIT
• CO-PAYMENT BENEFIT FOR:
– ADMISSIONS AND PROCEDURES
– ROBOTIC SURGERY
– THE USE OF A NON-NETWORK HOSPITAL
• DENTAL COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• MATERNITY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
-OUT-PATIENT SPECIALIST CONSULTATION
-PRIVATE ROOM
• RADIOLOGY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– SUB-LIMIT | MRI, CT AND PET SCANS
-TOP-UP | MRI, CT AND PET SCANS
• SUB-LIMIT BENEFIT FOR:
– INTERNAL PROSTHETIC DEVICES
– RENAL DIALYSIS TREATMENTS
– COLONOSCOPIES, GASTROSCOPIES AND ENTEROSCOPIES
– MRI AND CT SCANS
• BREAST RECONSTRUCTION
• CANCER TREATMENT SHORTFALLS
• MRI AND CT SCANS TOP-UP
• CANCER TREATMENT TOP-UP
• PHYSICAL REHABILITATION TOP-UP
• OUT-PATIENT SPECIALIST CONSULTATION BENEFIT
• CASUALTY BENEFIT
• TRAUMA COUNSELLING BENEFIT
• PREVENTATIVE CARE BENEFIT
• PRIVATE WARD BENEFIT
• PAYOUT BENEFITS FOR:
– ACCIDENTAL DEATH  AND DISABILITY
– FIRST-TIME CANCER DIAGNOSIS
• WAIVER BENEFITS FOR:
– YOUR MEDICAL AID CONTRIBUTION
– YOUR STRATUM POLICY PREMIUM
• LIFESTYLE BENEFITS

WHY GET GAP COVER?

Got medical aid cover? Good, you need that, but if you’re thinking that your medical aid plan will cover every medical shortfall known to man, think again.

If your medical aid plan covers 100% or 200%, in theory, it should be sufficient for those doctors’ and specialists’ fees that aren’t charged above these percentages 😕. But what about the healthcare providers who don’t charge medical aid rates?

Let’s say your medical aid plan covers up to 200% of the medical aid rate but your healthcare provider charges 400% of the medical aid rate… your medical will cover 200% and you’ll be liable for 200%. How’s that hole in your pocket right about now?

Hello Gap Cover! 👋

💪 It works with your medical aid plan and complements the cover it provides. Check out our benefits and sign up. Our welcoming committee is cheering you on.

LIKE WHAT YOU SEE? APPLY NOW!

STILL NOT SURE? LET US CALL YOU BACK

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