GAP Cover

Why do you need a Gap Cover benefit when you have a Medical Aid, surely your Medical Aid will cover all your in-hospital expenses?

Not so! The rate at which Medical Schemes pay for in-hospital procedures and the rate at which the service providers charge are two worlds apart.

Medical Schemes fund claims at a Scheme Approved Tariff, whilst Medical service providers usually charge for their time and expertise at a rate far in excess of the Medical Scheme Tariff.

What implications does this have for you the medical scheme member?
What is the solution?
How do you go about registering for Gap Cover?