Fill the GAP in your medical aid shortfalls and co-payments by claiming from your GAP Cover policy through the Oneplan App.
We have put together a comprehensive guide to claiming on your Oneplan GAP Cover policy.
Simply click the button below to view and download our Oneplan GAP Claiming Guide.
Can be used once you have run out of your Scheme savings or if you have reached your day-to-day benefit sub-limit. We cover the shortfall for: GP visits, basic dentistry, basic radiology/pathology, prescription medication.
Can be used for all in-hospital treatment and procedures which are above the scheme payout and all specialists in-hospital that would have been covered by the scheme.
Can be used for all cancer related claims once the Medical Scheme’s oncology threshold has been reached.
Can be used for a medical or surgical procedure following an emergency in the casualty unit of a hospital where the costs were not met by the Scheme. Assessment will be based on the Triage Scale.
Can be used for diagnostic procedures authorised by your Scheme that are deemed necessary for treatment and diagnosis purposes performed in-hospital or a day clinic.
Can be used for any shortfalls that your scheme paid from your MSA for procedures such as pap smears, routine bloods, immunisation and IUDs.
Can be used for HIV testing and/or treatment after a positive diagnosis reported within 48 hours.
Can be used in the event that any Insured Person under this policy dies due to an unforseen accident event. We will payout a lump sum cash amount in accordance with your benefit limit.
Yes. GAP Cover helps you to claim in the event of when you have exhausted your medical aid savings or encounter situations where your medical aid cover is insufficient, which means you can only get a GAP Cover policy if you have proof of an existing medical aid policy. If you are interested in getting medical cover that’s more affordable than medical aid, you can head over to Oneplan Health Insurance to see our range of comprehensive, affordable healthcare plans here
You have the option to either get cover for yourself only, or for a family or only certain members of your family. You have the option to cover a family up to four on the Oneplan Core or Executive GAP Cover Plans.
Medical Aids are regulated by the Medical Schemes Act, Gap Cover is short-term insurance product which, together with your medical aid, provides top-up health cover up to certain limits. The purpose of cover is to provide additional financial protection to medical scheme members who receive in-hospital treatment and care so that they are not saddled with large out-of-pocket expenses following a hospital event.
Oneplan uses DebiCheck, to ensure our clients’ debit orders with us are safe, protected and permission controlled
Oneplan™ is administered by Oneplan Underwriting Managers (Pty) Ltd, an authorised financial services provider FSP43628. Oneplan is not a benefit option regulated by the Medical Schemes Act, but a short-term insurance product underwritten by Bryte Insurance Company Limited a licensed insurer and an authorised FSP (17703).