Gap cover comparison (2020)
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 a variety of gap cover products to choose from.
All options offer:
Cover for certain co-payments
A benefit of R157 000 per person per year.