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September 2025

FREQUENTLY ASKED QUESTIONS

How Does Gap Cover Work?

Gap cover insurance is essential for covering shortfalls after medical treatments like surgeries or hospital stays where the specialist’s fees are higher than what your medical aid covers. Once your medical aid has processed and paid their portion of the bill, you can claim the remaining amount from your gap cover provider, according to the terms of your policy. 

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Medical Aid Is Not Enough: Why You Were Left With A R20,000+ Medical Aid Shortfall

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Corporate Gap Cover: Protection for SA Employer Groups

Medical aids and medical schemes in South Africa don't cover the full cost of healthcare. The gap between what medical

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