GAP FAQs

ARE THERE ANY WAITING PERIODS?

CAN I CLAIM FROM MY GAP COVER IF MY MEDICAL AID PAYS THE FULL AMOUNT

CAN I CLAIM ON MY GAP COVER ANYWHERE?

CAN I GET COVER FOR MY PARENTS OR RELATIVES?

CAN I TAKE THIS GAP COVER IF I AM ON A MEDICAL AID, BUT I AM NOT THE PRINCIPAL MEMBER ON THAT MEDICAL AID?

CAN I USE MY GAP COVER TO PAY FOR VISITS TO CASUALTY FOR REGULAR CHECKUPS?

HOW AND WHEN DO I SUBMIT A CLAIM?

HOW DO I CANCEL MY GAP COVER?

HOW DOES MY R185 800 LIMIT WORK?

HOW LONG IS THE WAITING PERIOD FOR MY PRE-EXISTING CONDITIONS?

HOW LONG WILL IT TAKE FOR THE CLAIMS TO PROCESS?

I AM DUE FOR AN OPERATION, I WAS INFORMED THAT THERE’LL BE A CO-PAYMENT. WILL THIS BE PAID BY MY GAP COVER POLICY?

I AM DUE FOR AN OPERATION. HOW DO I GET THE PRE-AUTHORISATION NUMBER?

IF I AM DIVORCED AND MY CHILDREN LIVE WITH MY EX, CAN I COVER THEM?

IF I HAVE SIBLINGS OVER 21 YEARS OLD WHO LIVE WITH ME AND ARE FINANCIALLY DEPENDENT ON ME, CAN I COVER THEM ON MY POLICY?

IS GAP COVER A MEDICAL AID?

MY GRANDCHILD IS COVERED BY MY MEDICAL AID. WILL HE/SHE ALSO BE COVERED BY MY GAP COVER?

THE UNLIMITED GAP COVER – CLAIM STEP-BY-STEP GUIDE

TO WHOM WILL THE BENEFIT BE PAID?

WHAT ARE THE NOTABLE EXCLUSIONS OF THE POLICY?

WHAT CAN I CLAIM FOR ON MY GAP COVER?

WHAT DO I NEED TO BE ON THE UNLIMITED GAP?

WHAT DOES GAP COVER ACTUALLY COVER?

WHAT HAPPENS IF MY PAYMENT ISN’T SUCCESSFUL?

WHAT IF I HAVE 6 CHILDREN UNDER 21 YEARS OLD AND WANT TO COVER THEM ALL?

WHAT IS A PRE-EXISTING CONDITION?

WHAT IS THE MINIMUM AND MAXIMUM ENTRY AGE TO ENTER INTO A POLICY?

WHEN CAN I START USING MY BENEFITS?

WHY WILL MY CLAIM NOT BE PAID IF I WANT A SURGICAL PROCEDURE TO BE CARRIED OUT BY MY PREFERRED SPECIALIST?

WILL IT COVER MY FAMILY?

WILL MY GAP COVER HELP PAY ANY MEDICAL EXPENSES?

WILL THE POLICY PREMIUM BE ADJUSTED, AND HOW FREQUENTLY WILL IT BE ADJUSTED?