In the South African medical landscape, the medical practitioner can charge more for in-hospital procedures than what your medical scheme is willing to pay.
That creates a situation where you as the patient go to hospital for Specialist, Anaesthetist and Radiology services and you are charged up to 500% of medical scheme rate. The difference between the private doctor’s rate and your medical scheme tariff creates an excess amount which you would be charged for in your personal capacity.
Gap Cover is a short term insurance product for members of a medical scheme, providing extra cover for medical shortfalls that could occur during in-hospital procedures.
Why should you get Gap Cover?
It’s an affordable and easily accessible way to avoid medical shortfall amounts which often occur during in-hospital procedures.
What does it cost?
- Gap Cover is available at only R160 per family per month
- CoPay Cover is also available at R70 per month per family (R12 000 limit per event)
- Or, get Gap Cover and CoPay combined at only R215 per family per month