FIND BUDGET-FRIENDLY GAP COVER
A Must-Have for Unexpected Medical Bills
FIND OUT FROM THE EXPERTS WHY GAP COVER IS ESSENTIAL TO AVOID FINANCIAL RISKS
The gap between what medical aid plans cover and the fees charged by private specialists can often result in significant out-of-pocket expenses for patients. Gap cover insurance helps to alleviate this financial burden by helping to cover these unexpected costs, allowing patients to focus on their recovery. Gap cover is available to main members and dependents of all South African medical aid plans, with no age restrictions for enrollment or coverage expiration.
WHY CHOOSE OUR GAP COVER PROVIDER ?
No age restrictions for enrollment or coverage expiration
No general waiting period at the start of the policy
Low exclusions
High levels of coverage for in-hospital and 60 out-of-hospital medical expense shortfalls.
No-Obligation Quotes
Fast and efficient claim settlement
Common medical expense shortfalls that are covered include:
| Examples of medical procedures that are frequently not covered in full by medical aids | Examples of medical expense shortfalls paid by Gap Cover in 2024/2025 |
|---|---|
| Caesarean Section Childbirth | R47 535 |
| Hernia Repair | R73 547 |
| Knee Replacement Surgery | R98 173 |
| Ankle Surgery | R69 557 |
| Hand Surgery | R59 169 |
| Foot Surgery | R21 186 |
| Lung Surgery | R62 067 |
| Brain Surgery | R51 524 |
| Liver Surgery | R69 206 |
| Kidney Surgery | R61 409 |
| Intestine Surgery | R144 522 |
| Heart Surgery | R156 496 |
| Heart Valve Replacement Surgery | R197 500 |
| Surgery for Fractured Arm | R53 663 |
| Eye Surgery | R42 601 |
| Ear Surgery | R81 053 |
| Cancer Treatment | R173 936 |
| Spinal Surgery | R227 263 |
3-STEP PROCESS
Tell us about your needs
Answer a few quick questions and our provider will set to work finding your perfect option.
Expert in touch
You’ll receive a call from a Gap cover specialist after you submit your details. They will be able to help and guide you around the various policies and their benefits.
All done! You'll receive your personalised quote
Once you’re all sorted, your consultant will take care of everything for you and provide you with a no obligation telephonic quotation. Sorted!