FNB Gap Cover
Cover your
medical shortfalls
Let us help you cover your medical expenses when medical aid is not enough, from as little as R250 p.m.
Let us help you cover your medical expenses when medical aid is not enough, from as little as R250 p.m.
You or your family are most likely to encounter one or more of the following situations where you will incur costs for:
Payment shortfalls between what a medical practitioner has charged and what the medical scheme has paid in hospital.
Being admitted to a hospital outside of your approved network.
Co-payments - to your healthcare provider before undergoing certain treatments in hospital.
Being admitted to the casualty ward of a hospital for emergency treatment.
Choose a plan suitable for you and your family's needs.
Essential
From R250 p.m.
Comprehensive
From R370 p.m.
Elite
From R435 p.m.
| Essential | Comprehensive | Elite | |
|---|---|---|---|
|
From R250 p.m. |
From R370 p.m. |
From R435 p.m. |
Shortfall benefit |
300% of MST |
500% of MST |
Unlimited* |
Co-payment benefit: |
|
|
|
Sub-limit benefit |
- |
R20 000 per person, per year* |
R50 000 per person, per year* |
Non-network benefits: |
- |
R7 500 per plan per year* |
Unlimited |
Cancer benefit |
|
|
|
Shortfall |
300% of MST |
500% of MST |
Unlimited* |
Co-payment |
Subject to a maximum co-payment of 25% of the costs of treatment |
Subject to a maximum co-payment of 25% of the costs of treatment |
Subject to a maximum co-payment of 25% of the costs of treatment |
Sub-limit benefit |
Covers 25% of the remaining costs once cancer sub-limit reached |
Covers 25% of the remaining costs once cancer sub-limit reached |
Covers 25% of the remaining costs once cancer sub-limit reached |
Casualty benefit |
R4 000 per plan per year* |
R6 000 per plan per year* |
R20 000 per plan per year* |
MST - Medical Scheme Tariff*Benefits are dependent on the type of plan chosen and limited to the annual limit of R210 500 per person. Refer to the brochure for more information.
