Medical Aid Gap Cover – Something You Need in These Difficult Times
Why Do We Need Gap Cover?
You might be wondering why you need Gap Cover if you already have Medical Aid. This is a fair question. Traditionally Medical Aid Schemes will only cover about 100% to 200% of the costs incurred during hospitalisation or diagnoses that requires long term care.
However, most medical practitioners will charge you up to 500% above the set tariff prices on most procedures, specialists such as CT and MRI scans as well as disposables, tests and other expendables that healthcare professionals use during treatment.
This leaves a sometimes large and costly gap or shortfall in between what you are insured for and what you are actually billed.
This gap can at times throw you or your family unexpectedly in debt after you have recovered. Gap Cover though solves this issue by filling in the area between what you are covered for a what you are charged.
Gap Cover and How It Saves You Money and Worry
As explained above there is sometimes a gap between what your Medical Aid covers and what you might be actually billed for by medical practitioners.
Gap Cover is a unique short-term insurance plan that works alongside your current Medical Aid. The purpose of Gap Cover is to pay for the shortfall between your medical Aid and the actual costs of medical care in South Africa. With value for money prices. Most Gap Cover service providers will offer you Gap Cover plans that cover the shortfalls in your insurance, as well as provide many other benefits.
Some of the most common benefits provided by Gap Cover providers are –
- Oncology and Dread Disease Cover – Covering the extra expenses and costs of treatment – both long and short term.
- Death and Disability Cover – Most of the top Gap Cover providers will provide extra cost and policy extension cover in the case of death or disability. Meaning your family and you won’t need to worry about insurance premiums.
- Co-Payment Cover and Benefits – Many will cover the overcharge on Copayments both for in and out of hospital procedures. Some will even cover day to day medical costs such as check-ups and medications, both prescription and over the counter.
- Travel Insurance – Making sure that you and your family are fully insured even if you travel outside of South Africa.
- Trauma Counselling – Many Gap Cover providers also offer extra benefits such as trauma counselling. Coving not only your and your family’s physical health but their mental health as well.
- Casualty Benefit – Covering the cost of emergency treatment.
Where To Look For Gap Cover Providers
Your Medical Aid Scheme might in fact also offer a Gap Cover policy. However, if you search up any Gap Cover provider you will find that most will allow policyholders to be from any Registered South African Medical Aid.
Letting be free to shop around and find the Gap Cover Provider that suits you and your budget best. One can never be too careful in this uncertain world. So ask about Gap Cover from your Medical Aid or shop around to find the plan that works for you.
Get a medical aid gap cover quote by completing and submitting the form on this page. Act now!