For Your Medical Aid Shortfalls
Cover and BenefitsWhat we offer for the low-low premiums you pay
This benefit covers the difference between your Medical Scheme Rate paid and private rates charged by a Registered Medical Professional for in-hospital treatment.
CoPay, Admission & Penalty Fee Cover
This benefit will cover a fixed amount Co-payments (Oncology benefits are catered for in a separate benefit category) and Admission fees imposed in terms of your Medical Scheme rules.
Prescribed Minimum Benefit Cover
This benefit will cover your Gap, CoPay and Admission Fee components for the use of a non- Designated Service Provider for Prescribed Minimum Benefit treatment.
This benefit will pay you a lump sum upon the initial diagnosis of Cancer as defined in the policy wording document. Cancer Cover incorporates co-payment cover and benefit for co-payment and biological drugs.
Specialist Outpatient Consultation Fee
This benefit will cover your Gap cover component above scheme tariff for outpatient consultation fee with a Medical Specialist.
Hospital Account Shortfalls
This benefit will cover your Hospitalisation Account Shortfall incurred when your Medical Scheme short-pays your hospital facility account.
Additional Care Cover
This benefit will cover your Gap Cover component for any of the listed procedures/diagnoses or treatment outlined in paragraph 28 of the policy wording document.
Provides you with further cover when you become liable to settle a portion of your internal prosthesis or MRI & CT Scan.
Health Premium Waiver
Provides a waiver of your monthly premium in the event of Death or Disability, up to a specified amount, for a maximum period of six months.
Accidental Death Benefit
Provides for a lump sum payout in the event of accidental death of any of the insured persons under the Gapwise policy.
Accident Expert by RoadCover
Ensures that victims of motor vehicle accidents have immediate access to an effective Road Accident Fund (RAF) and Compensation of Occupational Injuries & Diseases (COID) claims management system with NO additional costs to the Policyholder.
Medical Finance Options
Access to a Medical Finance Options for healthcare expenses that are not typically covered by your medical aid or any other healthcare product.
Healthwise/ER24 mySOS Mobile App
mySOS is a an emergency smartphone application (app) that offers clients access to appropriate emergency assistance when you don’t know who to call, you don’t know where you are, you want to notify your emergency contacts about your emergency and the exact location and/or you want your emergency contacts and the emergency services to navigate directly to your location in an emergency. This includes the following services from ER24: Emergency Medical Response, Emergency Medical Information, Medical Hotline and Trauma Counselling (read more about these benefits on the Healthwise website – opens in a new tab). A linked panic button that you can carry on you is available upon request.
Healthwise Dentistry Benefit
Healthwise provides a health voucher per tooth towards services by a dentist in relation to a broken or chipped tooth, an accidentally knocked out tooth or a crown due to a broken tooth.
Monthly PremiumsGapwise has a really simple premium structure...
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Contact UsWe'd be delighted to hear from you!
Tel 021 741 1336 | Fax 086 457 6642
Suite G02, Ibis House
The Estuaries, Oxbow Cres.
Century City, Cape Town
Western Cape, South Africa
Postnet Suite 148, Private Bag X3
Bloubergrant 7443, Western Cape, RSA
Office F15, The Work Space
140A Kelvin Drive
Morningside Manor 2196
Gauteng, South Africa
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My-Fin Financial Services
Transformation Capital Group
Suite G02, Ibis House, The Estuaries, Oxbow Crescent
Century City, Cape Town, Western Cape, South Africa