Go for the Gap Cover

Good idea: having a basic hospital plan to cover your family in the case of a medical emergency.

Bad idea: thinking that'll be enough to pay for your hospital expenses.

See, here's the rub: if you don't have Gap Cover (with a basic hospital plan , comprehensive plan or any type of Medical Aid ), you may be faced with whopping private healthcare bills... even though you thought you were fully covered!

This can become especially important when you know that you will require hospitalisation. Seriously, there's no better time to take out Gap Cover than when you're expecting or if you're preparing to battle a cancer diagnosis, especially as there's typically a three-month waiting period.

The Difference Between Medical Aid and a Hospital Plan

What is gap insurance and what does it cover?

It softens the blow of those 'fall-through-the-cracks' costs that even South Africa's best Medical Aid schemes don't fully cover on its own (to keep monthly payments affordable).

Let's take an anaesthetist's bill, for example. An anaesthetist can charge up to four or five times more than the Medical Aid rate (the amount you're covered for). This leaves you to settle the difference with a co-payment. This is where Gap Cover will kick in.

The same goes for co-payments on certain hospital procedures that your Medical Aid would be clear on from the jump like scopes, scans and dentistry.

Let's put it this way: you know that unfinished flyover bridge in Cape Town? That's the road equivalent of having normal Medical Aid. Sure, it'll cover part of your journey, but it won't get you all the way there. No matter how fancy your car (or Medical Aid) is, you might still need a bridge (Gap Cover) to reach your destination (by which we mean paying your full medical bill). Get it now? Great. You're a fast learner.

That's why it's a good idea to have Gap Cover — so that your bank balance doesn't hurt as much as you do when you go to hospital.

Gap Cover options

Here are the top-selling products per South African medical scheme, along with some typical co-payments to expect.

MediPhila R1,593 Popular cost saver for healthy young customers. Hospital cover limited to R1,000,000 per family in a hospital network. In-hospital specialist bills covered. Numerous in-hospital procedures.

BonStart R1,338 Best for young adults wanting basic cover. Unlimited network GP and nurse virtual care consultations. Some in-hospital procedures as well as out-of-hospital co-payments (that you can't use Gap Cover for)

MedVital Elect & MedMove! R1,650 and R1,452 MedVital Elect provides unlimited network hospital cover, with in-hospital specialist bills covered and acute injury benefits. MedMove! covers network private hospitalisation and emergency medical services. : specialised radiology, scopes and other in-hospital procedures. : Some in-hospital procedures as well as out-of-hospital co-payments (that you can't use Gap Cover for)

Essential Smart Plan R1,600 Hospital plan with day-to-day benefits limited to a GP network. Acute and over-the-counter medicines, dental, eye tests, basic maternity benefits. Various in-hospital procedures.

FlexiFED 1 Elect R1,481 Entry-level, cheaper hospital plan for single, healthy young adults. Unlimited network emergency hospitalisation and maternity cover at cost. R12,500 on planned procedures.

*Want more options?

Less for you

differs, expect two to five times what your Medical Aid will cover for a procedure, on top of the Medical Aid coverage. For example:

• R30,000

• R8,000

• R22,000 ( )

That's R8,000 (Medical Aid) + R16,000 (Gap Cover) = R24,000. You pay R6 000 ( ).

Now do you see why Gap Cover is worth investing in? Yip, we thought so!

Ah, but what about the monthly cost? We know. Countless surveys (and common sense) tell us that a top worry for average South Africans is how little is left in the kitty after month-end expenses. But just think of the expense you'll face Gap Cover in a medical emergency.

Then think of how much a dent Gap Cover would really make with prices starting from around R99 for basic Gap Cover to about R495 for a more comprehensive plan for yourself. Once again, the numbers just make sense when it comes to Gap Cover. So plan , thank us later.

Bin those shopping binges

Think of ways to curb your monthly spending and you'll be amazed at how much you save. Being savvier with your medical planning is a big step towards securing a safe future. Think of it as next-level adulting after getting Medical Aid.

So, if you're looking at reducing your monthly payments for Medical Aid, consider buying down and then adding Gap Cover. You can save even more by using Hippo.co.za 's quick and easy platform to compare Medical Aid and Gap Cover . That flyover bridge might never be completed, but who cares? Your Gap Cover will get you where you need to go without the !