What is Gap Cover and why do I need it?
In South Africa, and many other countries around the world, private health care is expensive. Many people mistakenly believe that their medical aid will cover all the costs associated with an illness or accident, but medical aids don’t always foot the bill for all of the medical services, medication or therapy that you may have to receive.
In some instances, private medical practitioners charge more than your medical aid is willing to pay for their services. In this case, it may seem like your only options are asking the medical practitioner to charge less or getting your medical aid to pay more. In both scenarios, you are likely to be stonewalled. So how do you cover this gap between what you need to spend on medical care and what you are entitled to from your medical aid?
Medical aid gap cover is designed to cover those gaps created when your doctor or specialist charges more for in-hospital services and treatment than the amount refunded by your medical aid.
Just because you have been diligently paying your monthly medical aid bill, it doesn’t mean you are covered in the event of an unexpected accident or disease. Contact Total Risk Administrators to find out more about medical aid gap covertoday.
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