Your MedGap GAP cover policy will give you peace of mind by covering the shortfall that you are liable for – saving you from extra expenses.
Medgap Primary
– Co-payment benefit
Medgap Supreme
– Co-payment benefit
– Cancer benefit
– Internal prosthesis benefit
– Accidental death and disability
– Casualty benefit
– Trauma counseling
– Baby Bump
– Premium Waiver
– Violent Crime Benefit
Medgap Millennial
Medgap Product Offering For 2021
Section A: Medical Expense Shortfall Benefits 22
(Under this section, a maximum of R173 000 can be paid per Insured Person per policy year)
| Supreme | Primary | |
| Benefit for shortfalls in medical practitioner costs (shortfall cover) | ||
| Benefit for co-payments applied by your medical scheme for certain procedures | ||
| Benefit for Co-payments levied by your medical scheme on oncology treatment programmes | ||
OR | ||
| Oncology extender benefit for exceeded medical scheme oncology benefit limits | ||
| Lump sum shortfalls for internal prosthesis costs | ||
| Benefit for shortfalls in emergency casualty costs due to an accident | ||
Lump Sum Benefits | ||
| Lump sum benefit for first time, minimum-stage cancer diagnosis | ||
| Lump sum benefit for accidental death and permanent total disability | ||
| Trauma counselling benefit | ||
| Violent crime benefit | ||
| Premium waiver benefit | ||
| Baby bump benefit |
Subject to a R173 000 Sublimit Per Annum
Contact us
Apply for cover
Affiliations
New Business Enquiries
+27 860 102 936
new@medgaponline.co.za
Claim Enquiries:
+27860 102 936
claims@medgaponline.co.za
General Enquiries
+27 860 102 936
info@medgaponline.co.za
Premium Enquiries:
+27860 102 936
premiums@medgaponline.co.za
If you have given consent for claims data sharing with Guardrisk insurance company the claim will be automatically processed and paid to the member. MedGap wants to make claiming as easy as possible for our clients. It is important to follow the steps below to ensure that your claim is processed within the correct timeframes. You have 4 months from the date of treatment to provide us with written notice of your claim. If any details are missing, or we need more information or documents, we will contact you. If we do this, please send us the outstanding documents within 28 days of our request or we will close your claim until you provide us with the documents we need. If you do not send us these documents within 12 months of your claim event, your claim will prescribe and we will close it permanently.
Steps to follow to submit your claim
1
Complete the applicable section in the online form below, and submit OR download the PDF version of the form, complete and send, with all required documents, to medgapclaims@guardrisk.co.za
2
Ensure that each section that is relevant to your claim is completed clearly, accurately and completely
3
A copy of the claim form will automatically be sent to medgapclaims@guardrisk.co.za
4
If you are not able to email your claim to us, print your completed claim form and posit it, with all required documents to: The MedGap Claims Team, Guardrisk Insurance Company Limited, PO Box 786015, Sandton, 2146