GAP cover has been around for quite some time but it has never been more relevant than now. This product has been designed to cover the gap between medical aid rates and what the specialists charge, this applies to unforeseen costs and deductibles not covered by the medical schemes for in-hospital treatment for example when a specialist in-hospital charges private rates, you might have a shortfall on the account.
Between the progressively unpredictable economy and ever-increasing healthcare costs, Cornerstone Healthcare Consulting Services believes that having GAP cover is an excellent way to fight inflation and help cover any shortfalls in medical aid claims. To further highlight the importance of this great medical aid add-on, here are some of our top reasons why you should take out GAP cover as soon as possible.
Private healthcare is becoming more and more expensive
It’s a known fact that healthcare is one of the largest and fastest growing industries in the world and unlike most other industries, the higher the supply, the higher the demand. South Africa has seen a massive increase in private healthcare facilities over the last few years, yet hospital beds remain fuller than ever. When the demand for high-quality healthcare is this high, the prices of these services will remain equally high.
Another reason for high health care costs is the constant influx of new innovations and technology. The medical field is constantly evolving, improving and developing new treatment options for illnesses. These developments can include anything from machinery, medication to surgical procedures and emergency protocols. With new technology often providing higher success rates and fewer side-effects, it is normally exponentially more expensive than existing or older treatment options.
With this in mind, the possibility of shortfalls in your medical expenses may become higher in the future and could easily add up to six-figure numbers depending on the treatment or procedure. That’s why GAP cover should almost be a non-negotiable add on to your current medical aid plan. Having a GAP cover policy will cover any shortfalls in-hospital treatments and certain out-of-hospital procedures. Thereby helping you get the best possible medical treatment without breaking the bank.
Great value for money
If you are a medical aid member, you will know those monthly premiums are anything but cheap. The better, more comprehensive plans can easily set you back more than R4,000.00 per month. If you compare these monthly premiums to that of GAP cover, considering what GAP cover can mean to you and your family, it truly offers extreme value for money.
With many GAP cover plans starting from as little as R200,00 per month per family or per membership, it is certainly one of the most affordable ways to ensure that you and your loved ones receive the quality care they deserve in times of need. Most GAP cover plans are also fully customisable, depending on your specific needs.
It acts as a buffer if you downgrade your medical scheme benefit option
In these uncertain and volatile financial times, downgrading your medical aid plan is often a way to save some money each month until you get back on your feet or perhaps you are not using most of the benefits on your current plan and a downgrade might be appropriate. Whatever your reasons, in most cases, downgrading will mean that the percentage that medical scheme is willing to pay (the medical aid rate) will decrease, thereby increasing the possibility of a higher shortfall.
If you have GAP cover, it will act as a cushy buffer if you must downgrade to a lower medical aid benefit option, because it will continue to cover many shortfalls that you may encounter.
It covers in- and out of hospital expenses
Contrary to popular belief, you do not have to be admitted to the hospital in order to use your GAP cover benefits. GAP cover may cover shortfalls on many out of -hospital benefits such as accidental casualty, MRI scans or CT scans. Although these procedures are mostly performed in hospitals, they are often done without the patient being admitted and therefore it counts as an out-of-hospital procedure.
If you or someone you know is interested in the many benefits of GAP Cover or medical aid and medical insurance, contact us today and let us do all the hard work for you, at no extra cost to you.