Gap Cover
Gap Supreme
This is not a medical scheme and the cover is not the same as that of a medical scheme. This policy is not a substitute for medical scheme membership. The master policy issued is the source of all benefits, rights and obligations and exclusions to determine your individual needs. We suggest that you contact your broker and request advice from him/her.
Brochure and form
2024 PRODUCT RANGE
Most medical schemes will cover in-hospital expenses defined as services rendered by a medical practitioner at the medical scheme rate. However, most specialists today are charging rates that are substantially higher than the medical scheme rate and you, as the member, are liable for the difference. This is known as the tariff gap.
Pick n Pay Gap Supreme is an insurance product that provides cover for you and your immediate family for the shortfall (gap) resulting from any medical practitioner charging above the medical scheme rate for in-hospital surgical procedures and certain out-of-hospital procedures.
The insured will receive a benefit equivalent to the costs incurred as a result of the gap for any hospital admission as an in-patient. The gap is defined as services rendered by a medical practitioner who charges above the medical scheme rate.
