Most hospital plans do not fully cover you when you’re hospitalised.
Your medical aid limits its cover to the Medical Scheme Tariff (MST) which invariably falls way short of what doctors and/or specialists typically charge.
For a fraction of your monthly medical scheme premium, gap cover will ensure that you are not left out of pocket.
Now, the rules on gap cover are changing.
Listen to the interview in the audio below (and/or scroll down for more quotes from it).
The feeling was that gap cover harms medical schemes.— Paresh Prema
The cap on gap cover at R150 000 will increase by CPI every year.— Paresh Prema
Regulations allow gap cover to continue operating.— Paresh Prema
Before you couldn’t get gap cover after the age of 65. Regulations now remove that exclusion.— Paresh Prema
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It may come as a shock (but it’s all there in the small print); medical schemes do not fully cover you when you’re hospitalised.
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