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Gap insurance gets the go-ahead

01 April 2008 | Healthcare | General | Gareth Stokes

More than a year has passed since we reported on a High Court ruling which prohibited the sale and marketing of so-called ‘gap’ insurance products. The original ruling followed a court petition by the Council for Medical Schemes (CMS) against Guardrisk’s AdmedGap product. The CMS felt insurance companies offering such products were contravening the Medical Schemes Act.

A couple of days ago the Supreme Court put an end to the madness and gave Guardrisk (a subsidiary of Alexander Forbes) the go-ahead to provide its niche insurance offering to South African consumers.

Providing cover where medical funds can’t do the job

‘Gap’ or top-up insurance was designed to cover the shortfall which many medical aid members experience when incurring medical expenses. The reality is that the portion of medical bills not covered by medical aid schemes has increased significantly in recent years. Inadequate cover could spell financial ruin for a family in the event of a long period of hospitalisation or other medical crisis.

Herman Schoeman, managing director of Guardrisk said the main argument brought by the Council for Medical Schemes against the AdmedGap product was that it would encourage people from taking cheaper options on their medical schemes. He says the court ruling confirms this was not a valid complaint: “Guardrisk’s gap cover insurance in no way threatens, competes with or compromises medical schemes. In fact, since you need to be a member of a medical aid to buy the Admed gap cover, it actually encourages the purchase of medical aid.”

The product is extremely popular and it emerged during court proceedings that as many as 55 000 medical scheme members were additionally covered by Guardrisk’s AdmedGap cover.

A welcome decision

Schoeman welcomed the Supreme Court decision. “This ruling provides peace of mind for our clients who can continue to rest assured that they remain covered for the shortfall between doctors’ in-hospital charges and medical aid rates,” he said. He warned other insurers that the ruling related specifically to Guardrisk and its product range. The ruling “should not, in any way, be construed as a general industry standard and individual insurers will have to examine their own products to measure their validity.”

“Though we still need to examine the detail of the Supreme Court of Appeal’s ruling, we are pleased that the court has brought clarity to the debate and has found a way to allow Guardrisk’s Admed products to continue complementing traditional medical aid schemes products, ensuring that South African families do not become financial victims of the shortfall between medical aid cover and the real costs of doctors’ in-hospital treatment,” concluded Schoeman.

Will we see new entrants?

With medical aid schemes under pressures due to rising medical costs and increasing regulation we expect the difference between what they pay for medical emergencies and what these emergencies cost medical aid members to continue to widen. There will definitely be a market for insurance products that assist medical aid members in covering this shortfall. Will other insurers enter the market in the coming months? We will have to wait and see.

Editor’s thoughts:
It has taken more than a year to resolve the legal wrangle between Guardrisk and the CMS. Now that it is legal again, would you consider purchasing or selling ‘gap’ insurance products? Add your comments below, or send them to [email protected]

Comments

Added by John Roberts, 27 Oct 2009
Please let us have more info on the "GAP" cover. Thanks!
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Added by Michelle Schreuder, 07 Apr 2008
Guardrisk can only accept group/company (employer) membership (although on a voluntary individual basis) with a requirement for a minimum number of individual members depending on the size of the group. This is necessary for control purposes as they always need to ensure that the individual is a member of a registered medical scheme. Individuals or their representative Human Resources managers can contact Rookshana Jooma on 011 – 269 0524 for the necessary information regarding this GAP cover.
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Added by HW, 03 Apr 2008
I think a word of caution mentioned here is that the article specifically mentions that individuals should NOT accept this ruling as industry standard, but should still check their products individually for validity. There are so many of these products developed over the years, and I think the solution for product providers would be to keep such products as SIMPLE as possible, in order to get rid of any confusion when it comes to treading on the toes of the Council for Medical Schemes
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Added by Lidia Nunes, 02 Apr 2008
I would like to find out more about this "gap" cover and where I could obtain a quotation
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Added by paul kristiansen, 01 Apr 2008
Hi Gareth Well its good to see some sanity prevailing against the tide of socialism which strives to bring everyone and everything down to the lowest common denominator ala Medical Schemes Maybe the powers that be should be striving to offer 1st world standards at government sponsored hospitals that could competitively offer an option to private patients - now that would be a challenge rather that pilfering with cross subsidation , market interference etc etc Paul K
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Added by Anon, 01 Apr 2008
I would definitely recommend that clients take this cover. Thanks for pointing it out to me.
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Added by Old Wallet, 01 Apr 2008
It is needed, greatly so. Most schemes only pay at the NHRPL tariff; a procedure can cost many R1000's with the covering about 1/3 of the cost. Also companies require their staff to be on specific schemes the affordable options have overall annuall limits. By the way, is it true that if medical aid is an employment prerequisite through the company, the said employer has to provide three different schemes?
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Added by Sidney, 01 Apr 2008
Well done Guardrisk for refusing to be "bullied" and persiting that your product is in fact an excellent option. If the "tide of socialism" as referred to by Paul K, would only realise that their incompetance does not and should not limit others to strive for 1st world products and standards. Thanks also to the legal system for restoring some of my doubts that it was going one way only! The CMS has missed the boat somewhere along the way? Instead of being pro-active and assisting Medical Aid Schemes to exercise their free marker rights, they're trying to "rule" them. Viva Guardrisk Viva!
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Added by Pet Beyer, 01 Apr 2008
What a great relief, seeing every thing else is going up, Having peace of mind that the gap will be cover. Almost all I know go over the medical cover. Horay for Guardrisk
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Added by Rene Johnson, 01 Apr 2008
i believe that most medical aids do not give peace of mind for when one is hospitalised and this to my mind necessitates taking out gap cover if you can afford it. it is heartbreaking to see our clients struggle to pay the difference between what the medical aid is paying and what the doctor is charging. viva la gap cover!
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