As many medical scheme members age while younger, healthier members buy cheaper options with fewer benefits, gap cover can total more than half of some patients’ medical aid payouts.

Interviews with brokers, underwriters, funders, consultants and GPs reveal a medical aid industry struggling to contain inflation. Insurance underwriters tell of regular individual gap payouts to cover medical aid shortfalls of between R50,000 and R191,000. The latter figure is an annual regulated gap cover limit per beneficiary for hospital treatments...

Subscribe now to unlock this article.

Support BusinessLIVE’s award-winning journalism for R129 per month (digital access only).

There’s never been a more important time to support independent journalism in SA. Our subscription packages now offer an ad-free experience for readers.

Cancel anytime.

Would you like to comment on this article?
Sign up (it's quick and free) or sign in now.

Speech Bubbles

Please read our Comment Policy before commenting.