03/10/2018
What is Gap Cover What is Gap Cover
Gap Cover
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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.
03/10/2018
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10/06/2015
Gap Cover
10/06/2015
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Contact HealthGroup for assistance with finding the correct gap cover to meet your needs!
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HealthGroup
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.
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.
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