List Of Gap Cover Companies In South Africa

Gap Cover Companies designed to cover the funding shortfall between what medical aids pay and what specialists actually charge.

Find below are the list of Gap Cover Companies In South Africa

Cura Gap Cover and Health Insurance

Address: 829 Rubenstein Dr, Moreleta Park, Pretoria, 0044
Hours: Closes soon ⋅ 4:15PM ⋅ Opens 7:30AM Wed
Phone: 010 021 0260

Admed Gap Cover

Address: 102 Rivonia Rd, Dennehof, Sandton, 2196
Phone: 0860 102 936

Discovery Middelburg

Address: 14A Hendrik Potgieter St, Middelburg, 1055
Hours: Closed ⋅ Opens 8AM Wed
Phone: 013 243 4406

Gap Cover

Address: 9 Queen St, Durbanville, Cape Town, 7550
Hours: Closes soon ⋅ 4:30PM ⋅ Opens 8AM Wed
Phone: 087 820 0627

What can I claim from Gap cover?

Gap cover serves to cover shortfalls where doctors charge above medical aid rate, and where medical aid pays up to their specified rate from the Risk or hospital benefit. Gap cover cannot provide cover where medical aid does not pay towards a procedure or covers the full amount for a procedure.

What is gap cover in South Africa?

Gap cover is a short-term insurance product designed to provide extra protection for those who already have medical aid. It covers the deficit between your medical scheme’s tariff (MST) and the actual rates charged by private healthcare professionals.

Is there a waiting period for gap cover?

Extensive benefits

As with medical aid schemes, most gap cover providers impose waiting periods, during which time you are not entitled to submit a claim. Waiting periods kick in from the first day of cover, and extend for a specified number of months.

How does gap cover work in South Africa?

Gap cover is short-term insurance policy which provides shortfall cover where doctors and specialists charge above medical aid rates of cover. Gap cover works in conjunction with your medical aid.

Does gap cover self payment gap?

Medical Gap Cover is Brilliant

Self-payment gap cover is a South African innovation, and very smart it is too. And the gap cover company will include everyone in your family listed as a member of the medical aid.

Does gap cover pay for copayments?

CoPay Cover provides cover for specified co-payments on procedures and scans performed in- and out-of hospital. Co-payments on medication and doctors’ consultations are not covered.