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Most medical schemes do not offer full coverage. This is where gap cover comes in. An innovation in short term insurance, gap cover offers medical scheme members the peace of mind that their in-hospital medical expenses will be covered.
Many short term insurers now offer gap cover.

The Offer:

  • For R185 per month you, your spouse or partner and your child dependents (registered as such on your medical scheme) are covered by Western National Insurance at a maximum benefit of 500% of your medical scheme tariff
  • Designated service provider co-payments are covered, as are MRIs and CAT scans
  • There is a waiting period of 12 months for pre-existing conditions. There is also an imposed waiting period for six other conditions, including pregnancy.
  • While there is an age limit of 70, all claims will be paid out for the duration that the policy is valid
  • There is no coverage for PMBs or for out-of-hospital procedures
  • The policy limit is set to R1 million per family per annum

Find out more

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