Kaelo Gap Cover for Medical Scheme Members in SA

You pay a massive medical aid premium each month so you expect that your medical aid plan will do the rest for you. This isn’t so, and in fact medical aids are getting away with paying less and less.

Pay a co-payment first if you want treatment to proceed

To your horror, you may book into a clinic for treatment, only to be told that before they commence with treatment, they require a co-payment from you.

This medical aid co-payment is a fee that you must make prior to having access to certain medical services.

The co-payment usually applies to specialist medical procedures, and of course the co-payment can be high.

Most people don’t have 10, 20 or R30 000 to pay upfront for these co-payments, and this means they can’t commence with surgery, even though they may require the surgery to save their life. Many people, wise to this dilemma, have chosen medical aid gap cover to help them out of this predicament. With gap cover, they don’t have to pay for the co-payment.

Healthcare solutions from Kaelo

When comparing the different medical gap cover plans available, Kaelo provides healthcare solutions that contribute to the well-being of all South Africans.

Their gap cover is a short term insurance product that helpsto cover some of those shortfalls that come about when your Medical Scheme won’t cover you in full. Medical aids are paying for less and less.

When you look a the core benefits offered by Kaelo Gap Cover, you see that co-payments and deductibles are covered. Other of the core benefits include –

• Tariff shortfalls
• Co-payments for oncology tariff shortfalls as well
• Shortfalls from sub-limits
• Oncology sub-limits
• Out-of-hospital tariff shortfalls
• Accident casualty

Benefit Extenders

They also offer their Benefit Extenders. This is of great value as this extender cover assists with additional benefits over and above the core benefits you get. It includes useful hospital and family booster, family protector, dental reconstruction benefit, road accident fund claims and medical scheme contribution waiver.

One of the reasons people on medical aids like to choose Kaelo Gap cover is because of the very high cost of specialist treatments. Without gap cover from Kaelo, a person is at risk of having to forgo certain treatments they need.

Kaelo Gap cover gives you the freedom to also choose whichever specialist you want and which you believe will give you the best care, and regardless of rates.

Kaelo provides essential, healthcare solutions that contribute to the well-being of clients. The health insurance provider tries to keep up with changing trends and events. With Covid-19 they’ve seen the need for affordable healthcare like never before, and they’re stepping up to the plate. 

Don’t  let YOU be liable for your medical aid’s shortcomings

Their 2021 products and benefits will achieve better healthcare.

They have also increased the overall annual limit of their gap cover products. Kaelo members can also submit claims using Kaelo’s digital claims process. Kaelo will also be integrating Kaelo Lifestyle for all gap policyholders.

When you choose Kaelo gap cover, you’re ultimately choosing life.

   Complete and submit the form now to get a quote fast!