{"id":141709,"date":"2021-10-06T13:27:08","date_gmt":"2021-10-06T13:27:08","guid":{"rendered":"https:\/\/www.regenesys.net\/reginsights\/?p=141709"},"modified":"2021-11-22T14:39:36","modified_gmt":"2021-11-22T14:39:36","slug":"does-your-medical-aid-cover-enough","status":"publish","type":"post","link":"https:\/\/www.regenesys.net\/reginsights\/does-your-medical-aid-cover-enough","title":{"rendered":"Does your Medical Aid Cover Enough?"},"content":{"rendered":"

[vc_row][vc_column][vc_column_text single_style=””]<\/p>\r\n

Life is unpredictable, so despite thinking you have planned for every medical eventuality and are financially covered, you can still end up financially ruined by expensive doctor\u2019s bills which are not covered entirely by your medical aid scheme.<\/p>\r\n\r\n

Medical aid schemes<\/a> use a price guideline (Reference Price List) issued by the Department of Health to determine their medical scheme rates for payment of services or treatments provided by medical practitioners or healthcare providers.<\/p>\r\n\r\n

\"Medical<\/a>These rates are very important to consumers because they determine the amount of money that your medical aid scheme is willing to pay for a consultation, hospitalisation or medical procedure.<\/p>\r\n\r\n

Unfortunately, doctors, hospitals and other medical service providers are not bound to medical aid scheme rates, and they can charge up to 500% above the medical scheme rates.<\/p>\r\n\r\n

Because of the discrepancy between what the service provider charges and what your medical aid will cover, you are left liable for a possible shortfall in costs.<\/p>\r\n\r\n

Have you been left \u201cOut of Pocket\u201d?<\/em><\/strong><\/p>\r\n\r\n

Debt due to medical expense shortfalls not covered by your medical aid when you are hospitalised can result in a huge financial burden and stress which can hinder your speedy recovery.<\/p>\r\n\r\n

Private healthcare cost in South Africa is very high.\u00a0 Gap cover is designed as a solution available to consumers to mitigate the risk from shortfall surprises due to hospitalisation and other healthcare related expenses.<\/p>\r\n\r\n

What is gap \\vcover?<\/em><\/strong><\/p>\r\n\r\n

Gap cover is not a medical aid and it is also not a replacement for your medical aid.\u00a0 Gap cover<\/em>\u00a0is a short-term insurance product that provides additional cover up to certain limits for clients already on a medical aid. It may be offered by your own medical aid, or by another short-term insurer.<\/em><\/p>\r\n\r\n

Gap cover should not be confused with a daily health benefit which pays out a predetermined amount per day (normally with a 24-hour waiting period) which can be spent as you need when hospitalised.\u00a0<\/em><\/p>\r\n\r\n

The gap cover products vary in range of benefits from entry- level to comprehensive cover.<\/p>\r\n\r\n

Why worry about unpaid medical expenses?<\/em><\/strong><\/p>\r\n\r\n

Pre-negotiate and take control:<\/p>\r\n\r\n

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