Gap Cover

Modified on Tue, 16 Nov, 2021 at 8:16 AM

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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