Gap Cover
It is also important to understand what Gap Cover does not cover, such as Prescribed Minimum Benefits, procedures declined by your medical scheme and specific exclusions.
Gap Cover has been designed to reduce your risk of out-of-pocket expenses when you are hospitalised. Typical out of pocket expenses is the shortfall you may experience:
Tariff Shortfall
Co-payments or Deductibles
Annual Sub-Limits
Oncology Co-Payments
Medical Scheme Contribution Waiver
Daily Cash Benefit for prolonged in-hospital care*
*Daily cash benefit for prolonged in-hospital care, normally pays after your third day in hospital, however this does not pay retrospective to day one.
We pride ourselves on guiding, educating and protecting our clients and for this reason we believe you need to be aware of the shortfalls and risks you may be exposed to.
Gap Cover must under no circumstances be considered as a replacement to your medical scheme.