GAP COVER
from only R228 per month
GAP COVER
from only R 228 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 301 p/m for individuals
*Age dependent
Our well-rounded COMPACT300 option is packed with benefits that cover the most often experienced in- and out-of-hospital medical expense shortfalls.
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 ELITE500.
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
MEDIUM
BENEFIT COVER
From *R 228 p/m for individuals
*Age dependent
The key benefits are in-hospital 400% Gap Benefit, Co-Payment Benefit, Sub-Limit Benefit and Cancer Treatment Shortfall Benefit, but if in- and out-of-hospital cover is your thing, check out COMPACT300 or ELITE500.
Benefit Overview
• 400% GAP BENEFIT
• CO-PAYMENT BENEFIT FOR:
– ADMISSIONS AND PROCEDURES
– PENALTY CO-PAYMENTS
– SCOPE CO-PAYMENTS
• DENTAL COVER
– SPECIALIST SHORTFALLS
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• MATERNITY COVER
– CHILDBIRTH SHORTFALLS
– ADMISSIONS AND PROCEDURES
– PENALTY CO-PAYMENTS
• RADIOLOGY COVER
– RADIOLOGY SHORTFALLS
– MRI, CT AND PET SCAN CO-PAYMENTS
– MRI, CT AND PET SCANS SUB-LIMITS
• SUB-LIMIT BENEFIT FOR:
– INTERNAL PROSTHETIC DEVICES
• CANCER BENEFIT
-CANCER TREATMENT SHORTFALLS
• CASUALTY BENEFIT
– ACCIDENTAL EVENTS
– ILLNESS EVENTS
• TRAUMA COUNSELLING BENEFIT
HIGH
BENEFIT COVER
From *R 404 p/m for individuals
*Age dependent
Our top-of-the-range ELITE500 option offers the widest range of in- and out-of-hospital benefits at the highest level of cover.
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
– THE USE OF A NON-NETWORK HOSPITAL
– ROBOTIC SURGERY
• 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:
– COLONOSCOPIES, ENTEROSCOPIES AND GASTROSCOPIES
– INTERNAL PROSTHETIC DEVICES
– RENAL DIALYSIS TREATMENTS
• CANCER BENEFIT
-BREAST RECONSTRUCTION
-CANCER TREATMENT SHORTFALLS
-CANCER TREATMENT TOP-UP
• PHYSICAL REHABILITATION TOP-UP
• OUT-PATIENT SPECIALIST CONSULTATION BENEFIT
• CASUALTY BENEFIT
• TRAUMA COUNSELLING BENEFIT
• PREVENTATIVE CARE BENEFIT
• PRIVATE ROOM BENEFIT
• PAYOUT BENEFITS FOR:
– ACCIDENTAL DEATH AND DISABILITY
– FIRST-TIME CANCER DIAGNOSIS
• WAIVER BENEFITS FOR:
– MEDICAL AID CONTRIBUTION
– STRATUM POLICY PREMIUM
• LIFESTYLE BENEFIT
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.
STILL NOT SURE? LET US CALL YOU BACK
