Skip to content

Medical Aid & Gap Cover

Medical Aid & Gap Cover

I can do things you cannot, you can do things I cannot; together we can do great things.

Mother Teresa

What is Gap cover?

  • Up to +500%Settled by Gap cover
  • 100%Covered at the scheme rate

What we arrange

Two covers, and the service around them.

  • Medical Aid

    Let Vision help you choose the right fit for you and your family. We will ask you a number of questions to assess your needs.

    Read about medical aid

  • Gap Cover

    Gap Cover is a short-term insurance product that covers the difference between the medical aid rate and private rates charged by doctors or specialists for in-hospital treatment.

    Read about gap cover

  • Ongoing Service

    Unresolved claims, billing queries, changes to your details, annual option reviews, loyalty benefits and wellness days.

    See what we handle

Medical Aid

Choosing the right fit.

Let Vision help you choose the right fit for you and your family. We will ask you a number of questions to assess your needs.

Factors that will determine which options to look at, could include:

  • Your age
  • If you have a chronic condition
  • Your income
  • The regional area you live in
  • Freedom of choice for hospitals
  • Type of plan (New generation, Hospital, Traditional or Network)

These are some of the services and benefits of becoming a health client of Vision:

  • Assist members with unresolved claims
  • Billing queries
  • Changing of personal details
  • Assistance with annual product option reviews.
  • Assist members to maximize the use of loyalty benefits offered to them by companies such as Discovery Vitality, Momentum Multiply and Liberty’s Own Your Life
  • Offer Vitality Wellness days

Speak to an Advisor

Schemes

Medical Aid schemes we are able to assist you with:

  • BestMed
  • Bonitas
  • Discovery Health
  • Fedhealth
  • Medihelp
  • Momentum Health
  • Profmed

Gap Cover

The difference you would otherwise pay yourself.

  • What is Gap cover?

    Gap Cover is a short-term insurance product that covers the difference between the medical aid rate and private rates charged by doctors or specialists for in-hospital treatment. It will settle up to a maximum of an additional 500% of the National Health Reference Price List rate.

  • Why do I need Gap cover?

    If you belong to a Medical Aid you would assume that you are fully covered for in-hospital treatment. However, depending on the Medical plan you are paying for, you may only be covered for 100% of the scheme rate. One would think that 100% would cover all your expenses but doctors or specialists in South Africa have the right to charge 200%, 300% even sometimes up to 500% of the National Health Reference Price List rate! So while you are thinking your Medical Aid has it all covered… in reality you will have to pay the difference from your own pocket. This is where Gap cover helps you out.

  • What does it cost?

    Depending on the Service provider, product and benefits you choose your premium would also change. We offer products from:

  • Am I too old for Gap Cover?

    New legislation prevents Gap cover providers to put a restriction on age, like they did in the past. Therefore, there is no age restriction to take out Gap cover!

We offer products from:

  • Ambledown
  • Kaelo Western Gap
  • Sirago
  • Stratum
  • Turnberry
  • Zest Life / PPS Gap

Speak to an Advisor

Curious about the benefits and costs?

Contact us for a full plan comparison.

Speak to an Advisor