Why is it important?
مشاهده
Driving costs of healthcare in
South Africa creates a gap in medical scheme cover
Having
medical aid doesn’t mean you’re 100% covered.
Gap cover assists to bridge the gap between the actual costs of medical expenses and the medical aid payment
Gap cover has seen a 48% increase in shortfalls from 2017 – 2021
Some
of the highest claims paid out by gap providers in 2021:
- Spinal stenosis, lumber region – R165 000,00
- Angina pectoris - R153 850,00
- Acute ischemic heart disease – R150 000
- Cervical disorder – R83 911,00
- Fracture of neck and femur – R60 000
It
is also requirement for healthcare intermediaries to advise about gap cover.