contributions 2018BENEFITS
Please contact Namhla or Tammy in our Health and Wellness Department, email health@daberistic.com , if you have any queries about Gap cover
What is Gap cover? GAP cover pays YOU the difference between what the doctors charge in hospital and NHRPL, what the medical aid actually pays. The National Health Reference Price List (NHRPL) is a pricing system maintained by the Department of Health and the Council for Medical Schemes. The NHRPL specifies the rates to which your medical aid scheme must adhere. It is the amount of money that they are bound by law to pay out for a given situation. Doctors, hospitals and other medical service providers however, are not bound to these rates, and in fact charge up to 300% above these NHRPL prices. So despite thinking you are financially covered for any medical eventuality in its entirety, for the most part you are not, and are often liable for an enormous shortfall. Gap Cover policies are proving to be an invaluable safety net, as the shortfall between what medical schemes pay and what specialist doctors charge has widened, leaving policy holders with a medical bill big enough to put them back in hospital. To ensure you don’t find yourself with unpaid medical bills contact Namhla in our Health, email health@daberistic.com , tel (011)658-1333 and apply for gap cover Source: Covergap |
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January 2025
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