Healthcare Insurance FAQs

The following are some important terms that you need to know regarding healthcare insurance which includes hospital care insurance and medical aid schemes in South Africa.

Hospital Insurance

This is insurance that pays out daily amounts into your chosen bank account. These amounts can be used for any expenses including your medical bills and other expenses related to your hospitalisation.

Medical Aid

Medical aid or medical insurance covers you solely for the expenses related to medical procedures and medicines. The amounts paid out by under your medical aid policy go straight to the GP, hospital or surgeon.

Gap Cover

Gap cover is an insurance type that is neither hospital plan nor medical aid. Medical aids often do not pay the full amount of hospitalisation, and thus you would need to pay an “excess” amount to cover the difference. Gap cover is the insurance that you can take up in order to pay that excess amount.