What Is a Sub-Limit and How Does Gap Cover Protect You From It?
A sub-limit is a cap your medical aid places on a specific procedure or item, separate from your overall annual limit, and it is one
16 July 2026
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A sub-limit is a cap your medical aid places on a specific procedure or item, separate from your overall annual limit, and it is one
Gap cover pays for some out-of-hospital procedures, but only a narrow, defined set, mostly scans and scope co-payments (and these must still be paid from
Some things just work better when they’re together; medical aid and gap cover are no exception. With medical treatment and specialist costs as high as
Taking out medical gap cover can prove life-saving, especially when you are admitted to a hospital and risk incurring shortfall costs. Medical aid scheme rules
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.
A sub-limit is a cap your medical aid places on a specific procedure or item, separate from your overall annual
Gap cover pays for some out-of-hospital procedures, but only a narrow, defined set, mostly scans and scope co-payments (and these
Some things just work better when they're together; medical aid and gap cover are no exception. With medical treatment and
