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Comprehensive, third party, fire and theft or third party only car insurance. Premium based on risk profile.
Insurance that co-pays your hospital bills. From R225 pm.
Medical gap cover helps pay hospital bills that aren't fully covered by your medical aid in South Africa. It's not a medical aid but rather insurance that covers you in the event that your medical aid doesn't cover all your costs.
Medical service providers, like doctors, can charge an average of 5 times (or 500%) the medical aid rate, leaving you to pay the difference out of pocket. They may also request certain procedures and scopes, such as an MRI and gastroscopy, which would require a co-payment.
With Old Mutual Gap Cover, it costs as little as R225 per family, per month for up to R164 500 cover per beneficiary, per year. If a family member over the age of 60 is included on the policy, the policy premium will be R275 per month.
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The total cover amount is R164 500 per beneficiary, per year. This annual limit includes in-hospital costs, as well as some out-of-hospital costs.
Medical aid gap cover helps you pay the shortfall on those medical expenses not fully covered by your medical aid.
The shortfall on those medical expenses are often not fully covered by your medical aid. Doctors can charge up to 5 times medical aid rates, and some specialist procedures require a co-payment, which your medical aid might not cover in full. This means that you will need to pay the difference, the gap, out of pocket.
Gap cover pays for in-hospital and out-of-hospital medical expenses that are not fully covered by your medical aid.
You receive a total cover amount per person, per year, so that if you are admitted to hospital or have to go for tests or procedures out-of-hospital, you will be able to pay the costs not covered by your medical aid.
All in-hospital claims are deducted from the overall R164 500 annual limit.
All out-of-hospital claims are deducted from the overall R164 500 annual limit.
Want to know more about Gap Cover? Get answers to frequently asked questions such as:
Visit Frequently Asked Questions.
Gap Cover is not a medical scheme and the cover is not the same as that of a medical scheme. This policy is not a substitute for medical scheme membership. Premium is risk profile dependent based on customer’s age.
Old Mutual Gap Cover is a product underwritten by Old Mutual Insure Limited (Authorised Services Provider), and administered by Insuremed Administrators (Pty) Ltd.