Which Gap Cover do you have or would you recommend that has a good benefit vs price. I don't have the energy to go through all 6 options and preferably don't want to or can't afford to pay for the highest plan. My hospital plan is very basic, Discovery Essential Smart Plan.
I'm with Momentum using their GAP Cover. I don't have any paperwork to correspondence. Once Momentum has done with my claim, they then send it to Momentum's GAP Cover who pay about 30 days later, into your account.
Can't speak for Discovery, but Momentum was fine for me.
Last year I had R178K in claims, Momentum paid R97K, Momentum GAP paid the rest.
One of the claims was for a certain Doctor whose bill came to R58K, Momentum only paid R18K, GAP paid the difference into my account, and I settled with the Doctor.
Might look like I spend time at the Hospital but that is not the case. I save up and don't process any claims for several years, then one year I'll choose to do all those procedures you put off, like my L4/L5 decompression I had done last year. This year so far, hopefully, zero claims.
Can't speak for Discovery, but Momentum was fine for me.
Last year I had R178K in claims, Momentum paid R97K, Momentum GAP paid the rest.
One of the claims was for a certain Doctor whose bill came to R58K, Momentum only paid R18K, GAP paid the difference into my account, and I settled with the Doctor.
Might look like I spend time at the Hospital but that is not the case. I save up and don't process any claims for several years, then one year I'll choose to do all those procedures you put off, like my L4/L5 decompression I had done last year. This year so far, hopefully, zero claims.
thanks, my mom has momentum, will get her on their gap cover as well as she recently had to go in for an opp and we got shock bill from the hospital but cant figure out for what it is as to my understanding everything was covered under PMB.
thanks, my mom has momentum, will get her on their gap cover as well as she recently had to go in for an opp and we got shock bill from the hospital but cant figure out for what it is as to my understanding everything was covered under PMB.
Curious, maybe none of my business, perhaps you do the same.
I've been paying my parents medical aid for a decade or more.
I watched how inflation ate up their savings and as they grew older, they became poorer.
It potentially saved the family money with unforseen medical bills.
While my dad is gone now, I still pay my mother's medical aid.
Dad racked up some big bills in the last 2/3 years of his life which Discovery paid. Mom more recently is having a procedure done to her heart to improve the rhythm, but it's all costs a fortune laying in hospital for a week. She has GAP too btw, with a different company to Discovery, but the other day she said she wanted to move it to Discovery. When I see her, I'll ask how it's going with the claims.
Edit: I'm a provisional taxpayer, you're allowed to take off those extended family medical aid contributions, as deductions.
Sirago gap cover is also good.
Best to get the level where they have side benefits not linked to the medical aid first paying a portion.
Many have casualty cover, cancer cover etc.
I'm on Discovery Gap cover and my folks on Turnberry.
Discovery is more expensive but does cover everything promised by the product.
I've never had a rejection on any legitimate or covered claim.
I haven't really claimed to that much to be fair.
My dad has claimed from Turnberry lots, a few spells in hospital for cardiac issues.
They are slightly cheaper than Discovery, no complaints from him.
They have paid out every legitimate and covered claim no problem, in a reasonable time frame.
This is where the big difference is, for discovery every claim you put in to your medical aid automatically also gets send to gap cover To see if there is any claim to cover, so no additional paper work no getting docs to prove that medical aid paid etc.
They pay some claims direct to provider bloods etc
Turnberry you need to fill claim supply docs etc, not that it's over burdensome or anything.
However not automatic like discovery.
Gap cover is a short term insurance product so there's a lot less grey area than medical aid.
I take a bit of a cynical view on it, brokers will push products that make them the most money.
Short term insurers see an additional revenue stream in gap cover and pushing it to market.
Medical Aids aren't pushing so hard yet so aren't rewarding the brokers the same way.
Leading to the don't have gap cover and medical aid at the same place.
The hard part is balancing medical level vs gap cover level
I'm on the top discovery gap cover and a mid level classic plan which works for me.
it's worked for me so far.
Which Gap Cover do you have or would you recommend that has a good benefit vs price. I don't have the energy to go through all 6 options and preferably don't want to or can't afford to pay for the highest plan. My hospital plan is very basic, Discovery Essential Smart Plan.
Curious, maybe none of my business, perhaps you do the same.
I've been paying my parents medical aid for a decade or more.
I watched how inflation ate up their savings and as they grew older, they became poorer.
It potentially saved the family money with unforseen medical bills.
While my dad is gone now, I still pay my mother's medical aid.
Dad racked up some big bills in the last 2/3 years of his life which Discovery paid. Mom more recently is having a procedure done to her heart to improve the rhythm, but it's all costs a fortune laying in hospital for a week. She has GAP too btw, with a different company to Discovery, but the other day she said she wanted to move it to Discovery. When I see her, I'll ask how it's going with the claims.
Edit: I'm a provisional taxpayer, you're allowed to take off those extended family medical aid contributions, as deductions.
I'll look into moving her to Discovery, but I think it cost a bit more than her current plan with Momentum. She doesn't have a pension, so I need to foot all the bills. I'll probably also look at moving her to a higher plan than what we have with discovery next year assuming business is steady.
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Which Gap Cover do you have or would you recommend that has a good benefit vs price. I don't have the energy to go through all 6 options and preferably don't want to or can't afford to pay for the highest plan. My hospital plan is very basic, Discovery Essential Smart Plan.
I have the elite cover through Stratum. We recently had a baby and the birth cost about R31000. My wife's medical aid only covered like R4000 and stratum paid out the difference in full.
We have claimed a lot recently because of the pregnancy and they have only rejected what our medical aid didn't have cover for.
I am very impressed with them in terms of payments. I will stick with them for as long as I can afford it.
They could definitely improve some of their processes in terms of submitting claims or managing your policy, but it's really minor in comparison to their payouts.
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