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Gap Cover for Out-of-Hospital Procedures

Gap Cover for Out-of-Hospital Procedures: What Is Covered and What Is Not?

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 your in-hospital or major medical benefit first)and specialist shortfalls tied to a hospital admission. It will not touch your everyday medical costs like GP visits, chronic medicine, or day-to-day expenses. If you are expecting it to cover any procedure done outside of a hospital, that

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Gap cover for medical aid

The Perfect Gap Cover For (Any) Medical Aid

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 they are, regardless of your medical aid scheme, there is often a shortfall in covering the full costs charged by healthcare providers. Without the perfect gap cover policy to pair with your medical aid, members are left with significant payment shortfalls that can cause additional

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The Best Gap Cover in South Africa – TRA Lists 10 of The Best Gap Cover Plans for South Africans

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 and regulations can be exasperating and frustrating to follow. Why do our medical aid benefits run out when we need them the most? And why do medical aids cover some medical procedures while others only partially or not at all? The Council for Medical Schemes

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Gap cover companies

Gap cover is not just a nice to have. It should be an essential gap cover insurance product that should be a part of your medical aid plan. Gap cover

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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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