What is Gap Cover? Simply put, Gap cover starts paying where your medical aid stops paying in hospital. We are a brokerage specializing in medical shortfall insurance, commonly known as gap cover.
Part of our philosophy is excellence and loyalty, that's why we have decided to only provide our clients with the best suite of products in the market, the SIRAGO range of gap cover products. We have secured preferential rates, which means you will pay less with us, than directly with the product provider.
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What Is Gap Cover?
Why Choose Us?
As an adviser on medical shortfall benefits, GAP4U has decided to only market the best product with the best coverage. Never will you be in a situation where you wish you had a better gap cover policy, because it did not cover everything you thought it would.
We offer the ULTIMATE GAP COVER product, which is underwritten by Sirago.
For ease of understanding, we will explain the MAIN BENEFITS of our product first, and then the ancillary benefits.
MAIN BENEFITS OF OUR PRODUCT
We have negotiated the best possible terms, which means that we can offer you:
- NO GENERAL 3-MONTH WAITING PERIOD
- NO MAXIMUM ENTRY AGE
- BENEFIT PAID STRAIGHT INTO YOUR BANK ACCOUNT
- PREMIUMS THAT ARE LOWER THAN THE OPEN MARKET
GAP COVER - Covers the difference between the Medical Scheme Rate and private rates charged by a Registered Medical Practitioner for in-hospital treatment, up to a difference of 500%.
The coverage provided by your medical aid can sometimes be a minefield to navigate. A lot of medical aid members are unsure about the exact coverage provided when they are admitted to hospital.
What you need to know is that your hospital account consists of two components:
1. Your hospital bill (bed, theater, etc.)
2. Related accounts, i.e. doctors and specialists who treat you in hospital.
Your hospital bill will normally be covered in full by your medical aid, with a few exceptions.
The related accounts are where the trouble is... Doctors and specialists either have a payment arrangement with medical aids, or they don't. Where they do not have a payment arrangement with medical aids, they are free to charge you an amount much higher than medical aid rates. That is where your bill problems begin... Depending on your length of stay in hospital, you are potentially exposed to massive shortfall payments by your medical aid.
In response to this, the insurance industry has responded with a product called medical gap cover. There are products with different levels of coverage offered by various insurers. In essence, the core of all gap cover products is to cover you for the exposure to related accounts, as mentioned above. So how do you make your decision on which gap cover product to invest in?
You consider the following:
- The reputation and solvency of the product provider;
- The ancillary benefits offered, which could include co-payment cover, cancer cover, premium waivers, out-patient visits to specialists, etc.;
- The premium comparison between the different product providers; and
- Whether there is an established brokerage which can advise and assist you with claims.
Contact us today at [email protected] or Facebook Messenger for professional advice on medical gap cover.
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