Gap cover is designed to bridge the gap between what your medical scheme covers and the actual costs of medical services. By addressing the shortfall in coverage, we ensure that you are protected from unexpected expenses and can focus on your recovery without financial worry.
Gap cover addresses the financial shortfall between your medical scheme’s payouts and the fees charged by in-hospital specialists. In South Africa, medical schemes offer varying plans with different levels of reimbursement for in-hospital services. Because specialists’ fees are not regulated, they can charge significantly more than the scheme rate—sometimes up to 500% more. Gap cover ensures you are not left with substantial out-of-pocket costs.
We simplify the process of choosing the right gap cover plan by:
Have questions or need personalised assistance? Fill out the form below or reach out to us directly, and we’ll help you find the perfect medical aid and hospital plan for your needs.