Gap cover is a short term insurance product that provides cover for:
- The Principal member and immediate dependants that are registered as dependants on the Principal member’s South African Registered Medical Scheme.
- Service providers such as specialists, surgeons, anaesthetists etc. who charge in excess of the medical scheme tariff for authorised in-hospital procedures and specified authorised out of hospital procedures.
- Limited to five (5) times the Medical Scheme tariff less the higher of the Medical Scheme Tariff or the Medical Scheme Option Reimbursement Rate
- Out-patient chemotherapy, radiotherapy and kidney dialysis
- Hospital co-payments
- Sub limit cover