The value of gap cover
Sanla Corp Gap Cover provides an extra layer of financial protection for those who already have medical aid. It helps to cover certain shortfalls between what your medical scheme will pay, and the rates charged by in-hospital medical specialists. The cost for in-hospital procedures or outpatient treatment can often exceed the base medical aid rate by an additional six times. With Sanla Corp Medical Gap Cover, you can enjoy peace of mind knowing that you and your family won’t be left to pay a large excess on medical bills.
- Individuals from R320/pm, families from R485/pm
- Up to an additional 600% above medical scheme rates for tariff shortfalls
Sanla Corp Comprehensive Gap Cover plan
The Mediclinic Extender Benefit is the perfect add-on to your Sanla Corp Gap Cover. It offers additional benefits to ensure that you enjoy personalised treatment at all Mediclinic facilities.
- Casualty illness: Subject to a maximum of two such events per Annum and a maximum of R2,800 per Insured Event.
- Specialist benefit: Up to R5,200 per Insured Party per Annum, subject to the Overall Annual Limit
- Private ward: Subject to a maximum of one event per Insured Party per Annum and a maximum of R5,200 subject to the Overall Annual Limit.
- Cancer lump sum pay out: Benefit is limited to one claim per insured Party and only payable on first-time diagnosis from stage two or higher as a lump sum of R10900.
- Cashless co-payment: Unlimited subject to the Overall Annual Limit. Only at a Mediclinic facility.
In certain cases the cost for in-hospital procedures or outpatient treatment may exceed the base medical aid rate by six times. By taking out Sanla Corp Medical Gap Cover Insurance, you ensure that you and your family aren’t left with a large excess amount to settle.
You need to be an existing member of a registered medical aid scheme.
Gap cover extends to the principal member, their spouse and children until they reach the age of 27. Families covered on two medical aids will be covered by a single Sanla Corp Gap Cover policy.
Special dependants may be included (excluding financially dependent parents).
Yes, the following waiting periods apply:
A general waiting period of three months on all benefits.
A 12 months condition specific for pre-existing conditions for which you received advice, treatment or diagnosis during the 12 months prior to the cover commencing.
Treatment for obesity, including bariatric surgery (stomach stapling).
Treatment for cosmetic surgery unless necessitated by a trauma or as a result of oncology treatment (e.g. breast reconstruction following a mastectomy).
Specialised dentistry is only paid for on the Sanla Corp Gap Cover Comprehensive Plan in the event of trauma, cancers and tumours.
Claims older than six months.
Any claim that is excluded or rejected by the insured’s medical scheme.
