Gap cover covers the potential shortfall that arises from the charges of attending practitioners for in hospital procedures charging up to 400% of NHRPL (or scale of benefits as previously known). If your medical aid only pays out at 100% then you will encounter this potential shortfall.
Yes it is. If you take out the GAP 100 then all members on your medical aid will be covered for R 95. ADULT DEPENDANTS MUST HAVE THEIR OWN GAP COVER POLICY.
Gap 200 is for those members who are on a medical scheme that pay at 200%.
As an example the discovery classic plans are only paid at 200% but the surgeons etc who are not contracted to Discovery can charge up to 400%.
We have a benefit selector chart on the website. Simply go to your medical aid on the chart and you will see what it is you will need. These are all add on to the basic GAP policy . you need not take all the extras.
Simply download the Complimed application form from the website or apply online and we will guide you through the process and advise you should you require any assistance from our experienced team.
There are no added costs. This application goes direct to Complimed and we are noted as the broker on your policy. If you need any help you can contact either complimed direct or us.
Complimed started in 2003 in the GAP market and have more than 42000 principal members with a collective premium of more than 30 million per annum. They are currently the leading company in developing personalized cover for individuals in the market place.
If you have a pre-existing condition then the underwriters will assess the risk and more than likely put on a years waiting period, just like any medical aid. (special conditions exist for groups over 20. Contact us for more info.)