Why Get Medical Aid Gap Cover in South Africa?

Why get medical aid gap cover in South Africa? Well, the country has a public healthcare system that provides free or low-cost medical services to all citizens. However, the quality of care is often subpar, and the waiting times are notoriously long. That’s why many South Africans opt for private medical aid schemes, which offer faster access to healthcare and better-quality services.

But even with medical aid, you may still face unexpected medical expenses that your scheme doesn’t fully cover. That’s where medical aid gap cover in South Africa comes in. In this article, we’ll explain what medical aid gap cover is, how it works, and whether you need it.

What is Medical Aid Gap Cover?

Medical aid gap cover is not the same as medical aid. It is an additional insurance product that you can purchase to complement your medical aid scheme. It is offered by various insurance companies in South Africa, and the premiums vary depending on the level of cover you choose.

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How Does Medical Aid Gap Cover Work?

Medical aid gap cover in South Africa works by covering the difference between the amount charged by a medical practitioner and the amount reimbursed by your medical aid scheme. Here’s an example:

Let’s say you need a medical procedure that costs R100000. Your medical aid scheme only covers R80000 of the cost, leaving you with a gap of R20 000. If you have medical aid gap cover, your insurer will cover the R20 000 gap, so you won’t have to pay it out of pocket.

Medical schemes typically have a limit, which is the maximum amount that the insurer will cover per procedure or per year. You can choose the level of cover that suits your needs and budget.

Why Do You Need Medical Aid Gap Cover?

Medical aid gap cover can help you avoid unexpected medical expenses that your medical aid scheme doesn’t cover. Here are some reasons why you might need medical aid gap cover:

• Your medical aid scheme has a limit on certain procedures or treatments, and you want to be covered for the full amount.
• You want to avoid paying the out-of-pocket expenses that come with a high-end medical scheme.
• You have a chronic condition that requires expensive treatment, and you want to ensure that you’re fully covered.
• You want peace of mind knowing that you’re covered for any unexpected medical expenses.

How to Choose the Right Medical Aid Gap Cover

When choosing medical aid gap cover in South Africa, it’s essential to consider your medical needs, budget, and lifestyle. Here are some factors to consider:

• The level of cover: Look for a policy that covers the procedures and treatments that you’re likely to need.
• The premium: Choose a premium that you can afford without compromising your other financial obligations.
• The insurer: Choose an insurer with a good reputation for customer service and claims processing.
• The waiting period: Check the waiting period for the policy to take effect, as some insurers require a waiting period of up to 12 months.

Conclusion

Medical aid gap cover is a valuable insurance product that can help you avoid unexpected medical expenses that your medical aid scheme doesn’t fully cover. It provides peace of mind and financial protection against high medical costs.

If you’re considering purchasing medical aid gap cover, be sure to compare different policies and insurers to find the one that suits your needs and budget. With the right level of cover, you can ensure that you’re fully protected against unexpected medical expenses in South Africa.

To get a quote fast, please complete and submit the form on this page