GAP cover and other value add products

Gap cover augments medical schemes’ offering through providing additional cover for in-hospital expenses not covered by a medical scheme.

Many healthcare professionals charge considerably more than the cover provided by medical schemes. This creates a gap between what the medical scheme pays and the costs incurred – without gap cover the member of a medical scheme will be liable for the difference in cost. Taking into consideration that services rendered in hospital are predominantly provided by specialists and surgeons it could be a sizeable amount. Tendahealth offers its clients several gap cover solutions. Gap cover provides cover for in-hospital shortfalls involving surgery and medical treatment as well as for certain procedures performed out-of-hospital. Gap cover is only available to members of a medical scheme.