Sanlam Gap Cover
Signup for Sanlam Medical Aid Cover in 2 EASY STEPS
1. Click any of the following links to view the brochure:
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What is Gap Cover?
Sanlam Gap Cover is a short term insurance product that provides an extra layer of financial protection for those who already have medical aid. It helps to cover certain shortfalls between what your medical aid scheme will pay and the rates charged by inhospital medical specialists.
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Why choose Gap Cover?
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The high cost of specialist treatments and aboveinflation increases means that more people are at risk of being left behind and excluded from the quality medical care they need and deserve. Sanlam Gap gives you the freedom to choose whichever Doctor or specialist will give you the best case, regardless of your Medical Scheme, regardless of rates. We have you covered for the best case, without the stress of having to worry about additional bills.
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What does my Gap Cover include?
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Gap Cover is for certain cost shortfalls for inhospital treatment as well as certain defined out-of-hospital procedures which can be categorised as follows: Core Benefits and Benefit Extenders. For details information and whether these Benefits and Extenders are applicable to your plan, access your Policy and Detailed Benefits and Services documents. Core Benefits o Tariff Shortfalls o Co-Payments and Deductibles o Shortfalls from Sub-Limits o Oncology Tariff Shortfalls o Oncology Sub-Limits o Oncology Co-Payments o Out-Of-Hospital Tariff Shortfalls o Dental Reconstruction Benefit o Penalty Co-Payment o Innovative Oncology Medicines Benefit Extenders o Family Booster o Hospital Booster o Family Protector o Accidental Casualty o Child Casualty Illness o Medical Scheme Contribution Waiver o End to End assistance with Road Accident o Fund claims through our preferred/chosen partner. This is a non-insurance Benefit and not underwritten by Centriq.