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 Liberal | Gap Core | Exact with Gap and Copay |
Benefit description:
This benefit provides cover for the difference between what a service provider charges for In-Hospital treatment and what your medical scheme pays towards this account.
Important points to consider:
- If your Medical 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.
Was this article helpful?
That’s Great!
Thank you for your feedback
Sorry! We couldn't be helpful
Thank you for your feedback
Feedback sent
We appreciate your effort and will try to fix the article