Tag: GapCover

You had the surgery. Your medical aid paid its share right on schedule. Three weeks later, a second bill arrives from the anaesthetist or surgeon for R40,000. You didn't budget for it, and you didn't see it coming. Increasingly, this is becoming the norm. The numbers behind these shortfalls tell the real story of this year's benefits renewal season. They also highlight the financial risks associated with medical aid misconceptions.

Our analysis of cancer-related gap claims we paid between 2020 and 2024 shows a staggering increase. The increase relates to gap claim volumes for initial cancer diagnosis, treatment co-payments and shortfalls. This cancer gap claims surge reflects growing pressure on healthcare funding. We operate as a gap cover provider, and GENRIC Insurance Company Limited underwrites the business.