Gap cover short-term insurance is an important consideration for anyone who values their health.
As Josh Billings once said, “Health is like money. We never have a true idea of its value until we lose it.” Gap cover can help ensure that you have sufficient coverage to get the healthcare you deserve.
Gap Cover: The Short-Term Healthcare Insurance You Need
Gap cover options provide benefits for members and their dependents who are covered by a registered medical aid scheme. While you can only be on two different medical aid policies and one Gap Cover Policy if you are a legally married or common-law couple, gap cover is not a substitute for medical aid scheme membership.
Gap cover covers procedures such as all emergency procedures, sterilisations, vasectomies, tonsillectomies, appendectomies, gall bladder removal, procedures and conditions not specifically excluded where a medical aid has failed to meet its full obligation in this regard, and Prescribed Minimum Benefits (PMBs) where a medical aid has failed to meet its full obligations.
TRA Gap Cover Includes Procedures Such As:
- All emergency procedures
- Sterilisations
- Vasectomies
- Tonsillectomies
- Appendectomies
- Gall bladder removal
There is no entry age limit, but there is an aggregate Gap Cover annual limit of R150 000 per insured person per annum. Different options, including entry-level, comprehensive, and high-end options, are available to cater to different health needs and budgets.
How Gap Cover in South Africa Works:
Gap cover works by providing cover for the shortfall between what medical schemes are willing to pay and the ever-increasing rates charged by medical professionals. This shortfall can result in members experiencing increasing out-of-pocket payments, even with top-of-the-range medical scheme options.
Gap cover is an important market that continues to grow, especially since new regulations have cleared up uncertainty.
So, consider gap cover short-term insurance to ensure that you have sufficient coverage to get the healthcare you deserve.
