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 firstname.lastname@example.org. In any claims case, it is wise to complete the claim form and submit as soon as possible.
Request a health claim form from email@example.com.
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.
Email your claim form and accompanying documents to firstname.lastname@example.org 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.
MEDICAL INSURANCE DISCLAIMER: This is not a medical scheme and the cover is not the same as that of a medical scheme. This policy is not a substitute for medical scheme membership. The benefits are subject to waiting periods and applicable limits. These are outlined in the policy wording which you are required to read and understand. T&Cs apply. The increase would be based on risk and inflation rates. This is not your policy wording and for the full disclaimer please go to www.elixi.co.za/disclaimer-notice
GAP COVER DISCLAIMER: 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. This is not your policy wording and for the full disclaimer please go to www.elixi.co.za/disclaimer-notice
Please note that the premiums presented on this website are based on the current rates and is subject to an increase which should take place in December 2018. The increase would be based on risk and inflation rates.
Constantia Insurance Company Ltd – an authorised FSP 31111. Talksure Trading (Pty) Ltd – an authorised FSP 42788. Ambledown Financial Services (Pty) Ltd – an authorised FSP 10287.