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(Adults - 12 years and older)
(Children - 11 years and younger)
( items item)
From
R275
per month
Life is unpredictable, we're here to help. NetcarePlus GapCare is an affordable insurance product that protects you against in and out-of-hospital shortfalls in your medical aid cover and gives you access to the widest choice of hospitals and specialists.
We cover the shortfalls for approved medical procedures and consultations while you are admitted in hospital.
We will cover the shortfalls for out-of-hospital consultations and treatments by a medical specialist.
We cover the shortfalls for any medical emergency beyond your scheme limits.
We will cover specialist consultations, dentistry, radiology and pathology beyond your medical scheme limits.
You'll receive cover for upfront payments required by your medical scheme for procedures such as scopes or scans performed in-hospital or in a day clinic.
This is not a medical scheme, and the cover is not the same as that of a medical scheme. This insurance product is not a substitute for medical scheme membership.
Complete the questions below to get an online quote.
Gap cover is only available to individuals who have a medical aid or hospital cover, have a look at our Accident and Trauma Cover which may be more suitable to your needs.
Our product covers your emergency medical costs for accident and trauma events at our network of private hospitals across the country.
This is not a medical scheme and the cover is not the same as that of a medical scheme. This insurance product is not a substitute for medical scheme membership
The prices shown are based on the information provided by you.
Below is more information on the range of gap cover products available from NetcarePlus.
Additional 500% of the medical scheme tariff
The medical scheme may require an upfront payment for certain scopes and scans performed in-hospital or in a day clinic.
This benefit covers the co-payment or deductible that has been applied by the medical scheme.
Amounts paid under this benefit will be subject to the overall annual limit per life insured.
If using a hospital outside of the prescribed network, the scheme will charge a co-payment. The benefit covers the co-payment that has been applied by the medical scheme.
Your medical scheme may apply a sub-limit on certain in-hospital medical procedures, prosthetic devices, length of stay in a mental health institution, rehabilitation, step-down or sub-acute facility. We will cover the shortfall once you have reached the sub-limit up to a maximum of R35 000 for each person per annum.
This benefit will be subject to a maximum of R35 000 per insured per annum. Amounts paid under this benefit will be subject to the overall annual limit per life insured.
Excluded
A trauma event is when you are:
The benefit is subject to a maximum of R10 000 per insured per annum. Amounts paid under this benefit will be subject to the overall annual limit per life insured.
In the unfortunate event that you pass away or become totally and permanently disabled due to an accident, we will pay your NetcarePlus GapCare premiums and your medical scheme contributions for 6 months up to a maximum of R5 000 a month. This amount does not accumulate to the overall limit.
Additional 300% of the medical scheme tariff
If you choose to give birth at a hospital in our network, we will cover:
We will cover the difference between the amount charged by the Gynaecologist or Obstetrician and the amount covered by your medical scheme for prenatal visits.
When your medical scheme has paid a portion of your out-of-hospital medical specialist claim, we will cover the shortfalls for:
Once you have run out of your medical scheme savings or if you have reached your day-to-day benefit sub-limit, we extend your cover for:
This benefit will be subject to a maximum of R20,000 per insured per annum. Amounts paid under this benefit will be subject to the overall annual limit per life insured.
The benefit is not applicable if you belong to a Hospital Plan only.
The age/s you have entered do not match the details entered when your quote was calculated.
Please update your details to receive an accurate quote.
The age/s you have entered do not match the details entered when your quote was calculated. Please update your details to receive an accurate quote.
Total
R 325.00
Policyholder details
25 years old
Note: Changing certain details will change the quote
All fields are mandatory
These details must be of the main member of the medical aid.
Gap cover dependants must be insured on the main member's medical scheme.
Have you or your dependants been covered on a gap cover policy in the last 90 days?
We will accept any of the following documents as proof of existing gap cover:
JPG, PNG & PDF file supported. 2MB file size limit.
Waiting periods will be applicable if you and your dependants were not previously covered on a gap cover policy:
Please refer to your policy schedule for the waiting periods specific to your policy.
file uploading
25 years old Female
Debbie Dobbins debbie@dobster.co.za 1234567890 8308144800082 38 years old Female
In-hospital specialist shortfalls
Co-payments and deductibles
Shortfalls in cancer treatment
Out of network hospital co-payments
Charges above sub-limits
Emergency medical treatment in an Emergency Department
Shortfalls in trauma counselling
Medical aid and GapCare premium waiver
Shortfalls in maternity costs
Out of hospital specialist shortfalls
Day-to-day costs beyond medical scheme limits
Please provide the premium payer's details
To protect our clients, the account holder will be contacted to confirm the debit information via DebiCheck.
You have successfully completed your application for NetcarePlus GapCare 300.
Your policy documents will be sent within 48 hours to this email address:
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Reach out to us on 0860 101 151 or email servicecentre@netcareplus.co.za for more information.
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Employees with medical aid can get access to world-class medical treatment and protection against unexpected high costs beyond their medical aid limits.
Need help or have questions? Email our team at servicecentre@netcareplus.co.za or contact us on 0860 101 151
Underwritten by The Hollard Insurance Co. Ltd, a Licensed Non-Life Insurer and Auth. FSP. NetcarePlus is an Auth. FSP.
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As part of our annual price increase, please note our new prices will take effect from 1 January 2022.