Gap Cover

Gap Cover Top up your medical aid cover to meet shortfalls with gap cover. We have contracts with five leading providers to assist you!

Prior to 2004, medical schemes covered specialist services (in hopspital) at either the PRIVATE rate or at the MEDICAL AID rate. This changed in 2004, with most schemes reducing the levels of cover to 100% (aka the scheme rate). As specialist rates have steadily increased over the last few years, there is now a large gap between what schemes will cover and what the specialist will actually charge.

This results in members being ‘out-of-pocket’, even though they are members on a medical scheme. The Short Term Insurance Industry has therefore developed GAP COVER products, insuring members against this shortfall.

10/08/2016

Visit our HealthGroup website for more information!

Gap Cover
10/06/2015

Gap Cover

Full Brochure
10/06/2015

Full Brochure

10/06/2015

Contact HealthGroup for assistance with finding the correct gap cover to meet your needs!

[email protected]

Established in 2007, HealthGroup is a specialist
healthcare consultancy firm. This is our strategic and core focus.
Accredited to provide advice on behalf of 12 registered medical schemes. Licenced to provide top up insurance and gap cover.

10/06/2015

As a member of a Private Medical Scheme, you would expect that an event in hospital would be covered in full, this is not so. Most medical schemes will cover in-hospital expenses defined as services rendered by a Medical Practitioner at the Medical Aid rate. However, most specialists today are charging rates that are substantially higher than such Medical Aid rates and you, as the member, will be liable for the difference.

GAP COVER is an Insurance Product that provides cover for you and your dependants, registered under your medical scheme for the shortfall (GAP) resulting from any medical/ surgical procedure
charged above the benefit paid by your Medical Aid for incidents that necessitate hospitalisation.

Address

10 Abrey Road
Kloof
3610

Telephone

+27317647298

Website

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