Medical Gap Cover

It is important to know the rules of your medical scheme to understand the gaps in cover of your medical scheme option and possible out-of-pocket exposure.

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.

General Enquiry about My Personal Solutions

Risk & Innovation

Five Risk Trends Affecting SMMEs

The world certainly looks very different a year later, and nowhere is it more apparent than in the Small, Medium and Micro Enterprises (SMME) space. The sector has faced more than its fair share of obstacles during the COVID-19 pandemic amidst a contracting economy and lockdown measures that reduced income streams to a trickle.

Flooding on the Cards

With above normal rainfall[1] predicted for South Africa until April, flooding could be a reality for many South Africans in 2021. In Aon’s Weather, Climate and Catastrophe 2020 Report, flooding was identified as the second largest peril across the globe, following tropical cyclones, with a devastating cumulative economic loss of $1,191bn (R17,674bn). What is even more concerning is the fact that only 17% of losses were insured.