You and your family’s health is important. This is why you have Medical Aid. However, your current Medical Aid policy might not be enough to keep you and your family fully covered.
Medical Aids traditionally only pay out about 100-300% of the set Tariff rates while Medical Professionals can charge anywhere up to 500% above the set rate. This gap or shortfall is left to you to cover out of pocket. And as anyone who has experienced this gap knows, this can quickly account for bills in the thousands of Rands that you need to pay.
Discovery however has a solution for their Discovery Health members.
Discovering Gap Cover
Discovery brings its policyholders two unique Gap Cover plans. In short, Gap Cover is a form of short-term insurance. It covers the gap between what your main Medical Aid plan pays out and what you are charged by Healthcare providers.
Discovery has crafted their policy to work seamlessly with their Medical Aid policies. Offering a wide range of benefits, you can choose what cover you need and what the focus of your Gap cover plan is on.
Discovery Gap Comprehensive and Discovery Gap Core. Both plans are for families as well as individuals. Designed to give you cover that is just right for you and your lifestyle.
Discovery Gap Comprehensive –
- Provides cover of up to 500% of the medical scheme rate over and above what your medical scheme pays
- Hospital Admissions Benefit (Includes private ward cover)
- Oncology Benefit Extender
- Scopes and Scans Benefit Extender
- Travel Benefit Extender You get cover for shortfalls
Discovery Gap Core –
- Provides cover of up to 250% of the medical scheme rate over and above what your medical scheme pays
- Oncology Benefit Extender
From there Discovery offers a wide range of Benefit Extenders for their policyholders. Allowing you the freedom to choose how your policy is extended. With Discovery your needs are set first. Building policies that fit and suit their members have always been Discovery’s main goal.
Extending Benefits
The Extender Benefits Discovery offers to their members is extensive. Covering every base that you could want from your Gap Cover provider. Discovery has created a network of benefits that not only extends your Gap Cover but the cover your Medical Aid can provide as well.
Private Ward Cover –
Covers the difference in costs between the general ward and private ward if approved by hospital admissions.
Out of Hospital Specialist Claims –
Covers the shortfall on your admitting specialist’s fees.
Third Trimester Maternity claims –
This includes a TytoHome Kit. Claimable from your third trimester of pregnancy.
Cover for Medications –
This covers any medications you might be prescribed by your doctor upon being discharged from the hostital.
Out of Hospital Radiology –
This overs any shortfalls on treatments set one month before admission.
Out of Hospital Rehabilitation
With these benefits from Discovery Health gap cover, you can be assured that you and your family will be able to seek out the best medical care without worry about the fees connected.
Use the form on this page to get your gap cover quote