The Complete List of Gap Cover Providers in South Africa

Gap cover is becoming increasingly necessary among South Africans who belong to a medical aid. Soaring medical costs mean that medical aids do not always cover the full costs of consultations. Consequently, many South Africans are turning to gap cover products.

Most medical aids set an MST (medical scheme tariff) which is the amount they are prepared for the services of private healthcare professionals. However, the actual rates may differ. Enter gap cover, which covers the deficit between the rate charged and what your medical aid pays.

Major Gap Cover Providers

There are several reputable gap cover providers in South Africa, each offering different levels of coverage and benefits. When choosing a provider, consider:

• Coverage limits (typically ranging from 200% to 500% of medical aid rates)
• Monthly premiums
• Waiting periods
• Exclusions and limitations
• Additional benefits like oncology cover
• Claims process efficiency

What to Look For

When comparing gap cover providers, make sure to:

1. Read the fine print carefully
2. Understand what is and isn’t covered
3. Compare premiums across similar coverage levels
4. Check customer reviews and claims settlement ratios
5. Verify the provider is registered and compliant

Making Your Choice

The right gap cover provider for you will depend on your specific needs, budget, and existing medical aid coverage. Consider consulting with a financial advisor or insurance broker who can help you navigate the options and find the best fit for your circumstances.