The Gap Cover benefit covers the difference between the medical scheme rate and the rate that service providers charge.
Ultimate Gap | Plus Gap | Gap Assist | Gap Lite | Gap Only | Exact with Gap and Copay | Corporate Comprehensive | Corporate Base
Exact Cover
Benefit description:
This benefit provides cover for the difference between what a service provider charges for In-Hospital treatment and what your medical aid pays towards this account.
Important points to consider:
- If your Scheme does not contribute to an account or part thereof, that account or tariff line will not be assessed.
- Stated gap percentage (%) includes Scheme rate if not stated as an additional percentage cover.
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