Kaelo Medical Gap Cover

Kaelo Medical Gap Cover. What is Gap Cover?

Gap Cover is additional protection against shortfalls to complement your Medical Scheme cover. Shortfalls occur when your healthcare provider charges higher rates than what your Medical Scheme will pay. These shortfalls expose you to out-of-pocket expenses that could lead to exorbitant debts.

• Kaelo average increase for 2027 is 7.5%
• The Overall Annual Limit for 2027 is R233 035
• Benefit Limit Increases on Optima option is:
•      Casualty child Illness benefit is R3 500 per event for 2027
•      Oncology first time diagnosis benefit for 2027 is R 25 000
•      Oncology Tariff Shortfalls, sub-limits and co-payments is new benefits added to the Core option