GAP COVER CLAIMS PROCESS
How to submit a Gap cover claim?

Submitting a claim for Gap Cover is a simple process. If you need to make a claim, your completed documents should be submitted in writing by no later than one hundred and eighty (180) days / six (6) months from the date of the incident and returned by email to claims@ambledown.co.za. In any claims case, it is wise to complete the claim form and submit as soon as possible.

The Step-by-Step Process:

Step 1: Request a health claim form from claims@ambledown.co.za.

Step 2: Gather the supporting documentation that is required to accompany your claim.
  • Detailed Hospital Accounts
  • Detailed Doctor(s) Accounts
  • Detailed Medical Aid Statement (line by line assessment of all transactions that relate to the hospitalisation)
  • Fully Completed Claim Form
No claims can be settled without copies of these documents present.
Step 3: Email your claim form and accompanying documents to claims@ambledown.co.za or fax on 011 463 1665.
The claims assessment period is a maximum of fourteen days from receipt of all the required documents. Failure to provide all applicable documentation to this claim form will cause undue delay in the processing thereof.
OUR PARTNERS
In order to deliver on our promise to you, we have partnered with Guardrisk and Ambledown who not only share our values and vision, but also our passion for ensuring that every South African is given the opportunity to access quality, private healthcare.
This is NOT a medical scheme and will not be a substitute for medical scheme membership. It fills the GAP between what is covered by your medical aid, and the actual amount charged by your medical practitioner for in-hospital procedures.
For more info click on the below logos.
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