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Gap Cover

Life is full of unexpected twists and turns, and when it comes to your finances, being prepared is key. This is where Gap Cover Insurance steps in – a powerful financial tool designed to bridge the gap between your medical expenses and what your medical aid plan covers. 

Benefits of Gap Cover

Financial Safeguard

Gap Cover will give you financial protection from healthcare expenses. While traditional medical aid plans are designed to cover a substantial portion of your medical bills, they often have limits and exclusions that can result in unforeseen out-of-pocket costs. 

Covers Co-payments and Sub-limits

Many medical aids require you to make co-payments for certain procedures or admissions. Gap cover can help to cover these co-payments, so you don’t have to pay them out of pocket. Medical aids also have sub-limits, which are maximum amounts that they will pay for certain procedures. Gap cover can help to cover the costs of procedures that exceed your medical aid’s sub-limits. 

Provides Peace of Mind

 Knowing that you have gap cover can give you peace of mind, knowing that you will be covered for the cost of your medical expenses, even if they exceed your medical aid’s reimbursement rate. 

Can Be Tax-deductible

In some cases, the premiums you pay for gap cover can be tax-deductible. This will depend on your individual tax circumstances. 

A women lying in a hospital bed being attended to by a nurse. The nurse is explaining the importance of Gap cover
A doctors and patient holding hands, talking about gap cover and the benefits of it.

What is Gap Cover?

Gap Cover Insurance offers a vital layer of financial protection and peace of mind in the unpredictable world of healthcare expenses. While medical aid plans provide essential coverage, they often fall short of covering the full cost of medical treatments, leaving individuals and families with unexpected and burdensome bills. This is where Gap Cover Insurance shines. By seamlessly bridging the gap between what your medical aid covers and the actual expenses incurred, it ensures that you’re not left grappling with exorbitant bills during already stressful times

A doctors calculating the medical costs of a patient, showing the cost gap cover will provide
A patient lying in a hospital bed, being attended to by a doctor who is explaining the importance of gap cover.
Three doctors in scrubs standing and chatting about gap cover.

How Gap Cover Insurance can Help People Pay for Medical Expenses

When you have a Gap Cover policy, it steps in to cover the difference between what your medical aid pays and the actual medical expenses incurred. This includes: 

  • Specialist fees.

  • In-hospital treatments.

  • Surgeries.

  • Diagnostic tests.

Gap Cover policies vary, but they commonly cover co-payments, deductibles, and other unexpected costs that may arise. 

Let’s say you require a surgical procedure that costs more than your medical aid’s reimbursement rate. Without Gap Cover, you would be responsible for paying the difference out of your own pocket. However, if you have Gap Cover, it would absorb or substantially reduce this financial burden, allowing you to focus on your recovery rather than worrying about the costs. 

Important to Remember

Gap Cover isn’t a standalone policy; it’s designed to complement your existing medical aid plan. Before purchasing Gap Cover, it’s advisable to review the terms, conditions, and coverage limits of different policies to ensure they align with your needs and circumstances.

Contact Us to Secure your Gap Cover Policy! 

Simply complete the form below and click ‘submit’ to submit a gap cover inquiry. Our customer service team will get in touch with you within 2 business days.