With medical scheme plans becoming more expensive and service providers starting to charge higher and higher rates, it makes sense to get an insurance product like gap cover that bridges the gap so you don’t end up being out of pocket. In essence, gap cover provides you with financial assistance on the portion of in-hospital specialist bills which your normal medical scheme doesn't cover.
Bear in mind that gap cover only pays for in-hospital care - not day-to-day medical expenses.
If you’ve had to pay for hospital procedures and treatment in hospital, you’ll know that there’s often a big difference between the cost of treatment and what your medical scheme pays for. Gap cover helps you pay for the shortfall and ensures that you don’t suffer financially due to unexpected medical expenses.
Please contact Completemed Healthcare Consultants on 0860 000 952 or email firstname.lastname@example.org for any advice on the different gap cover options.
How Medical Gap Cover Insurance Works.
View the Frequently Asked Questions.
Get covered and enjoy a range of additional benefits.
Protect yourself against unexpected excess payments.
Note: Graph values show actual payments made by medical aidschemes and gap cover amounts paid out by Xelus (Pty) Ltd,the administrator for Sanlam Gap Cover.
Let us assist you in choosing the right cover for your needs. Please fill in your details below, and one of our consultants will call you.
Please complete the form to purchase Sanlam Gap Cover, and we’ll help protect you against unexpected excess payments.
New regulations for gap cover stipulate that:
In certain cases the cost for in-hospital procedures or outpatient treatment may exceed the base medical aid rate by 5-times. By taking out Sanlam Medical Gap Cover Insurance, you ensure that you and your family aren’t left with a large excess amount to settle.
Yes, the following waiting periods apply:
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If you are a Sanlam Reality member on any of the Reality membership options, you qualify for a free hospital cash benefit that pays out from the third day of hospitalisation instead of the seventh day, which is standard practice. Speak to an adviser and find out more.