{"id":238,"date":"2019-06-05T05:45:30","date_gmt":"2019-06-05T05:45:30","guid":{"rendered":"https:\/\/www.innov8fs.co.za\/blog\/?p=238"},"modified":"2026-03-18T11:46:48","modified_gmt":"2026-03-18T11:46:48","slug":"problems-with-hospital-bills-exceeding-your-hospital-cover-gap-cover-is-the-solution","status":"publish","type":"post","link":"https:\/\/www.innov8fs.co.za\/blog\/2019\/06\/05\/problems-with-hospital-bills-exceeding-your-hospital-cover-gap-cover-is-the-solution\/","title":{"rendered":"Problems with hospital bills exceeding your Hospital Cover? Gap Cover is the solution\u2026."},"content":{"rendered":"

Gap cover will settle claims up to 500% of your Medical Scheme rate. Limited to a maximum of 600% or at the stated benefit value<\/p>\n

Co-pay Cover<\/strong><\/u>:<\/p>\n

R40 000 sub-limit per policy per annum. Limited to R10 000 per claim.<\/p>\n

Admission Fee Cover:<\/strong><\/u><\/p>\n

Paid to a maximum of R3 000 per admission. A maximum of 3 claims per policy per annum. Including the use of a Partial Cover Network Hospital as determined by your Medical Scheme.<\/p>\n

Day Hospital \/ Clinic and\/or In Room Surgical Procedures Cover<\/u><\/strong>:<\/strong><\/p>\n

We will settle the Gap portion of claims.<\/p>\n

Emergency Room Cover:<\/u><\/strong><\/p>\n

R4 000 sub-limit. Emergency Room \u2013 Accident and Trauma Treatment R2 000. Emergency Room – Illness Treatment R2 000 per policy for the Gap portion only.
\nPMB Cover:<\/p>\n

Limited to R30 000 per claim for the use of Non-DSP facilities for PMB treatments.<\/p>\n

Cancer Benefit:<\/u><\/strong><\/p>\n

A R100 000 limit per policy applies once your Medical Scheme Oncology benefit limit has been reached and a percentage co-payment is applied. Limited to R15 000 per claim for Cancer co-payments. Cancer Cover incorporates Co-payment cover and biological drugs. In order to access this benefit you need to be on a registered treatment plan with your Medical Scheme.<\/p>\n

Hospital Account Shortfalls:<\/u><\/strong><\/p>\n

R1 500 sub-limit per policy per annum. Maximum of R500 per claim. Maximum 3 claims per beneficiary per policy per annum.<\/p>\n

Contact us at Innov8ions for your GAP cover solutions.<\/p>\n","protected":false},"excerpt":{"rendered":"

Gap cover will settle claims up to 500% of your Medical Scheme rate. Limited to a maximum of 600% or at the stated benefit value…<\/p>\n","protected":false},"author":1,"featured_media":239,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-238","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-life-insurance"],"_links":{"self":[{"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/posts\/238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/comments?post=238"}],"version-history":[{"count":1,"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/posts\/238\/revisions"}],"predecessor-version":[{"id":240,"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/posts\/238\/revisions\/240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/media\/239"}],"wp:attachment":[{"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/media?parent=238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/categories?post=238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.innov8fs.co.za\/blog\/wp-json\/wp\/v2\/tags?post=238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}