What is Gap Cover?
In the event that your particular medical aid scheme does not cover the entire costs of a medical or hospital procedure, Gap Cover is an additional top-up insurance you can avail of, to cover any outstanding amount over and above your stated benefit. Similar to the ‘excess waiver’ policy one can take out when renting a car, gap cover will cover the difference between the amount your medical scheme provides towards your claim, and the actual amount billed from a doctors or hospital visit (known as a ‘gap payment’)
Why might I need Gap Cover?
If you visit a private hospital of GP that does not have a comprehensive agreement with your medical insurance provider, you may be personally liable for significant extra treatment costs. Many GP’s also work with preferred specialists who may not be covered, should you require further treatment. Consumers often feel they are paying too much on medical aid but are not covered for procedures that they need. By taking out gap cover at a small, additional cost, you and your family are assured that the essential medical treatment you need does not impact on your debts and finances.
Selecting The Best Gap Cover in South Africa that works!
If you find yourself on a medical aid scheme, yet frustrated by your provider’s unwillingness to pay the full cost of your appointments, practical health insurance is the solution you have been looking for. Day 1 Health facilitates gap cover insurance through its affordable Preventative Healthcare and Hospital Benefit cover. Available to all South Africans at prices starting from just R235 per month, it gives your private medical cover extended value, and ensures peace of mind. View our Plan Options to view which Day to Day and Hospitalization Plan will meet your family’s needs. Don’t let out-of pocket expenses sacrifice your well-being – Apply Online today.
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