Gap Cover takes care of Medical Aid shortfalls and will take care of you in case of unexpected health expenses.
Many of us are under the impression that our medical aid will cover us for any medical expenses that might come our way. Most people are surprised by unexpected medical expenses that they thought were covered by their medical aid. Imagine the shock of receiving a bill while you’re still recovering from major surgery, and wondering about how you’re going to deal with this additional cost… This isn’t the case when you have medical gap cover!
Without Medical Gap Cover you would be personally liable for any payment shortfall that your medical scheme doesn’t cover.
As a medical scheme member you would probably expect your full costs to be covered if you are ever hospitalised. Unfortunately, this is seldom the case. Medical scheme benefits are limited to their Medical Scheme Tariffs (MST) and as we know, medical practitioners can charge considerably more than the MST. Certain medical specialists have been known to charge up to four times the MST.
This creates a shortfall — or gap — between the MST and the medical practitioner’s cost. Your medical scheme does not cover this and you are liable for this amount. The actual cost of many procedures performed by surgeons, anesthetists and other medical practitioners can add up to a sizeable payment gap. What you need is peace of mind that when medical procedures are required or emergencies arise, costs will be affordable and that your Gap Cover will save you!
Gap Cover takes care of Medical Aid shortfalls and will take care of you in case of unexpected health expenses.
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