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Medical Expense Shortfall Cover - Gap Cover Legacy Series

Comprehensive Gap Cover benefits for
only R538 per family per month

Helping you in your time of need with affordable
and comprehensive Gap Cover.

CompliMed are experts in helping our clients cover the shortfall in their medical aid through
simple, affordable and comprehensive Gap Cover solutions.

Why is GAP Cover Essential?

We believe Gap Cover is essential for every Medical Aid member in South Africa. It is only a matter of time before you or someone you know will experience a shortfall in their Medical Aid cover, which can amount to many thousands of rands. Unfortunately the individual is personally liable for this shortfall, causing stress and financial strain. Most times, this shortfall can be avoided through a comprehensive and affordable Gap Cover solution...

Learn more about GAP cover

CompliMed® Gap Cover

Legacy Series

2025 Monthly Premium:

R538.00

per family for under 65yrs

R770.00

per family for 65yrs+


In-Hospital Benefits

  • Medical Expense Shortfall Cover
  • Co-Payment Cover
  • Non-DSP Hospital Penalty Cover
  • Sub-Limit Cover
  • Trauma Recovery Cover

In-Hospital and Out-Of-Hospital Benefits

  • Traditional Cancer Cover
  • Biological Cancer Drug Cover
  • MRI and CT scan cover
  • Trauma care cover
  • Breast Cancer Prevention Cover
  • Breast Cancer Reconstruction Cover
  • Innovative Cancer Drug Cover
  • Investigative Treatment

Out-Of-Hospital Benefits

  • Co-Payments for MRI, CT and PET Scans
  • Co-Payments for scopes
  • Sub-Limit Cover for MRI, CT and PET Scans
  • Casualty Benefits for accidents
  • Casualty Benefits for illness

In-Hospital Dental Cover

  • Medical expense shortfall cover
  • Co-payment cover
  • Sub-limit and co-payment cover for dental implants
  • Sub-limit cover
  • Basic Dental Medical Expense Shortfall for Children

  • Added Benefits

    • Cancer Diagnosis Benefit
    • Medical Scheme Contribution Waiver
    • GAP Premium Waiver
    • Personal Accident Benefit
    • Critical Illness Benefit
    • International Travel Cover

    Standard Waiting Periods

    New Policy Waiting Period
    • A 3-month general waiting period applies to all benefits (except in the event of an accident, which occurred while on the Policy). In the event the commencement date of the Policy is the same as the commencement date of the Medical Scheme, no 3-month general waiting period will apply to Medical Expense Shortfall Cover (increasing the medical aid rate up to 600%)
    • A 10-month waiting period on pregnancy/childbirth
    • A 12-month waiting period on investigations, treatment or surgery for: hysterectomy, hysteroscopies, endometriosis, ovarian cysts and fibroids (myomectomy), muscular-skeletal (except in the event of an accident, which occurred while on the Policy), tonsillectomy, myringotomy, grommets, adenoids, wisdom teeth, hernia, cataracts, gastroscopies, sigmoidoscopies, colonoscopies, cancer, nasal and sinus.
    Existing Policy Transfers
    • Waiting period concessions will apply should your existing policy be in force for a period of 12 months and longer.

    Extended Family Cover


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Need Group Cover for Your Business?

Protect your staff and business with our affordable and comprehensive Employer Group Gap Cover Solutions.

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The CompliMed® Promise

CompliMed exists to make Gap Cover as affordable and accessible as possible to South African Medical Aid members.

We promise to help you prepare for your time of need by offering exceptional customer service and comprehensive Gap Cover products that are fairly priced, easy to sign up for and simple to claim from.

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Testimonials

I wish to thank Complimed for paying the estimated total shortfall of R 75000 I incurred during my last stay in hospital. It was very easy to submit claims and I always got a speedy response to all my queries. Thank you Complimed for your excellent service. I will continue to recommend you to my friends and family as I have been doing thus far.

-Thileshni Pather Nair

The recent birth of our son called for unexpected medical emergencies. CompliMed® far exceeded my expectations by taking away the stress of all our shortfalls with efficiency and excellent customer service.

- Duran Doorasamy

We’ve been with CompliMed® for over 10 years and can honestly say that our gap cover policy has paid out thousands of Rand’s in medical aid shortfalls that would have otherwise have been paid by us.

- Brian & Ros

My wife recently gave birth to our baby boy, and as such there were a lot of unexpected expenses that came along with it, which was charged above the medical aid rate, thankfully we have gap cover by Complimed, which assisted us in settling these extra expenses, the claims process was so easy and stress free, which was done online, all of our multiple claims were settled, within a matter of days.

- Luke & Azariah

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