Gap Cover

Plan Options*
- Only GAP Cover (GAP Cover pays for health care providers charge’s that usually exceed the tariff being paid by your medical scheme option. In most events the Member would be responsible for any shortfalls incurred as a result of the service providers who bill a higher tariff. Depending on the cost of the services or procedure, any such shortfall can have a severe negative impact on the Member’s financial situation.
  In order to circumvent a financial crisis in the event of major operations or treatments, GAP Cover covers up to 600% of the “scheme rates”. With a Gap Cover Policy no Medical Scheme Member will ever fear the pressure of financial shortfalls in the unfortunate event of them or any of their dependents being hospitalised.)
- Co-Payments in Hospital (Co-Payments pays for charges in the form of a co-payment or deductible applied for in-hospital admissions and/or the necessity for chemotherapy or radiotherapy for the treatment of cancer on an out-patient basis, and/or the necessity for kidney dialysis on an out-patient basis.
- Sub-Limits (Sub-Limits are for MRI & CT scans and any form of internal prosthesis)
- Cancer Treatments Cover (Sub-limitation imposed by the medical scheme for biological cancer drugs for specific drugs as listed in master policy. The necessity for chemotherapy or radiotherapy for the treatment of cancer on an out-patient basis, and/or the necessity for kidney dialysis on an out-patient basis?
- EMERGENCY ROOM COVER (This benefit will cover your Gap Cover component (as defined above) for any Out-Patient Surgical Procedure that would normally be performed on an In-Patient basis. In addition, this benefit covers Emergency Treatment when you visit the emergency room of a hospital in a medical emergency, regardless of whether you are admitted into hospital after being treated.)
Cancer History*
- I have never had cancer in the past or present.
- I have had cancer but been in remission for longer than 5 years.

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Title*
Full Name*
Surname*
Date of birth*
Telephone Home/Work
Cell*
Email*
Marital Status*
Referred by
Employer Name*
Employed by*
To which Medical Scheme do you belong too*
Which option with this Scheme are you on*

Do you have an existing Cap Cover plan?*
- Yes
- No
Company Name
Option
Premium
Would you like more info on the following?
- Life and Health Hospital admission cash payment
- Funeral Cover
- Waiver of Premiums for your Medical Scheme Option
Waiver period
- 6 months
- 12 months
- 24 months

Let us help you build a GAP cover that suits your needs.

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