The Essence Of TOP-UP/GAP COVER
By Rudolph Ackermann, CEO at MANAGE ALL
Top-Up/Gap Cover Is An Essential Supplement To Your Medical Scheme Plan
Top-up/Gap cover is a valuable insurance product for those with medical aid, as it helps to cover the financial shortfall between what medical professionals charge and what medical schemes pay. It’s particularly useful for specialist consultations and procedures where costs can exceed medical scheme rates, ensuring you’re not left with unexpected and potentially large bills.
Here’s A More Detailed Look At The Value Of Top-Up/Gap Cover:
Covers Shortfalls:
Medical professionals, especially specialists, often charge more than what medical schemes are willing to pay, leading to co-payments or out-of-pocket expenses for the patient. Top-up/Gap cover bridges this gap, ensuring you’re not burdened with these unexpected costs. In some instances, health care providers charge up to 700% more than what your medical scheme benefits will cover.
In-Hospital Specialist Cover:
Policies offer enhanced cover for specialist consultations and procedures performed while you’re hospitalised.
Can Cover Other Shortfalls:
Policies extend to cover other potential shortfalls, such as those related to radiology, pathology, or even specific procedures like cancer treatment.
Cost-Effective:
Top-up/Gap cover premiums are generally lower than the cost of upgrading to a more comprehensive medical aid plan, making it a more affordable way to manage potential healthcare expenses.
Peace Of Mind:
Having Top-up/Gap cover provides peace of mind knowing that you are protected against unexpected and potentially high medical bills, allowing you to focus on your health and recovery without financial worry.
Essential For Families And Those With Ongoing Needs:
Top-up/Gap cover is particularly valuable for families with young children, individuals with ongoing medical conditions, or those requiring frequent specialist care.
Please Note That Top-Up/Gap Cover Is Not A Substitute For Medical Aid.
It is designed as a loose standing policy to supplement your existing medical aid, not replace it.
Manage All offers a unique range of Top-up/Gap cover plans to suit your pocket through Cura Administrators, an authorised financial services provider. Please visit the secure Cura website at https://www.curaadmin.co.za/gap-cover/ for more information.
