Gap Cover in Bloemfontein
Protect yourself against medical shortfalls
Having medical aid does not necessarily mean every medical expense will be covered in full.
Healthcare providers may charge more than the rate covered by your medical scheme, potentially leaving you with a shortfall.
Gap cover is designed to provide additional financial protection for certain eligible shortfalls, subject to the terms and limits of the policy.
Juntos Financial Services helps clients in Bloemfontein understand how gap cover works and whether it may be appropriate for their healthcare and financial circumstances.
What is gap cover?
Gap cover is supplementary insurance designed to help cover certain shortfalls between what a medical scheme pays and the costs charged by healthcare providers, subject to the policy's terms and limits.
It is not a replacement for medical aid.
Instead, it can form part of a broader healthcare protection strategy.
Why consider gap cover?
A hospital admission can involve significant medical costs.
Even where you have medical aid, you may encounter situations where a healthcare professional's charge exceeds the applicable medical scheme rate.
Gap cover may provide additional financial protection against certain qualifying shortfalls.
Who should consider gap cover?
Gap cover may be worth considering if you:
- Have medical aid
- Want additional protection against certain medical shortfalls
- Are concerned about unexpected healthcare expenses
- Have a family whose healthcare costs you need to consider
- Want to strengthen your overall healthcare protection
Whether gap cover is appropriate depends on your individual circumstances and the policy benefits available.
Gap cover and medical aid work together
Gap cover should be understood as an additional layer of protection rather than a replacement for medical aid.
When reviewing your healthcare arrangements, it can be useful to consider:
Medical aid → Gap cover → Your broader financial plan
Looking at these elements together can help you make more informed decisions about your overall financial protection.
Why choose Juntos?
Juntos takes a holistic approach to financial planning.
Your healthcare protection can be considered alongside your medical aid, insurance, investments and other financial requirements.
Juntos Financial Services assists clients from its Bloemfontein office in Dan Pienaar and is an authorised Financial Services Provider (FSP 43292).
Gap cover FAQs
Is gap cover the same as medical aid?
No. Gap cover is supplementary insurance that may provide additional protection for certain medical shortfalls. It does not replace medical aid.
Does gap cover pay every medical expense?
No. Benefits, exclusions, limits and qualifying circumstances depend on the policy.
Do I need medical aid to have gap cover?
Gap cover is generally designed to work alongside medical scheme membership. Your specific eligibility and policy requirements should be confirmed before taking cover.
Is gap cover worth it?
That depends on your healthcare needs, existing medical aid and financial circumstances. A professional review can help you decide whether the additional protection is appropriate for you.
Looking for gap cover in Bloemfontein?
Your medical aid is important. So is understanding where potential financial gaps could arise.
Speak to Juntos Financial Services about gap cover and your broader healthcare protection.