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Liberty

Universal

About this plan

Comprehensive gap cover providing up to 500% medical aid tariff cover, extensive hospital and out-of-hospital benefits, oncology cover, co-payments, and enhanced financial protection. Administered by Zestlife.
Monthly premium
From
R591
per month

What's covered

Hospital cover
Savings account
Day-to-day
Chronic cover
Dental
Optical
Maternity
Mental health

Waiting periods

General
3 months
Pre-existing conditions
12 months

Universal

Liberty-Universal-Gap-Cover

Liberty Universal Gap Cover (πŸ‡ΏπŸ‡¦ 2025)

Overall, Liberty Universal Gap Cover is a trustworthy short-term insurance product designed to provide extra protection for those with medical aid. The Liberty Universal Gap Cover Plan starts from R537 ZAR. Liberty has a trust score of 4.1.  
πŸ”Ž ProviderπŸ₯‡ Liberty Universal Gap Cover
πŸŸ₯ Years in Operation66 years
🟧 UnderwritersGuardrisk Life Limited (FSP 76)
🟨 Market Share in South Africa>25%
🟩 Gap Cover Waiting Period12 months
🟦 Do Exclusions Applyβœ… Yes
πŸŸͺ Average Monthly PremiumR537
πŸŸ₯ Oncology Benefitβœ… Yes
🟧 In-Hospital Benefitβœ… Yes
🟨 Out-of-Hospital Coverβœ… Yes
    Liberty Universal Gap Cover

Liberty Universal Gap Cover - 7 Key Point Quick Overview

  1. βœ… Liberty Universal Gap Cover Overview
  2. βœ… Liberty Universal Gap Cover Premiums
  3. βœ… Liberty Universal Gap Cover Benefits and Cover Comprehensive Breakdown
  4. βœ… Liberty Universal Gap Cover Exclusions and Waiting Periods
  5. βœ… Liberty Universal Gap Cover vs Other Gap Cover Plans
  6. βœ… Our Verdict on Liberty Universal Gap Cover
  7. βœ… Liberty Universal Gap Cover Frequently Asked Questions

Liberty Universal Gap Cover Overview

The Liberty Universal Gap Cover is one of three plans that start from R537 per month. Liberty’s Universal Gap Cover has benefits for non-network co-payments, oncology, internal prostheses, casualties, robotic medical procedures, and more.   Liberty Gap Cover has three plans to choose from: Liberty monthly premiums 2025

Liberty Universal Gap Cover Premiums

πŸŸ₯ Individual CoverπŸŸ₯ Premiums
🟧 <55 YearsR537 monthly
🟨 55 – 64 YearsR700 monthly
🟩 >65 YearsR838 monthly
🟦 Family Cover🟦 Premiums
πŸŸͺ Where all insured are <65 yearsR700 monthly
πŸŸ₯ Where one or more insured are >65 YearsR838 monthly
    Liberty Gap Cover 2025

Liberty Universal Gap Cover Benefits and Cover Comprehensive Breakdown

πŸŸ₯ Shortfall CoverCover Information
🟧 Overall Annual Cover Limit Overall Annual Cover Limit – R230 000 per insured per year
🟨 In-hospital cover for shortfalls in terms of doctors and specialist charges exceeding medical aid tariffCovers up to 500% of the medical aid tariff.
🟩 Shortfalls on ±50 out-patient procedures (includes PET, MRI, and PET scans)Covers up to 500% of the medical aid tariff.
🟦 General Co-payments imposed by the medical aid for hospital admission, CT, PET, and MRI scans, and certain medical aid proceduresGeneral Co-payments imposed by the medical aid for hospital admission, CT, PET, and MRI scans, and certain medical aid procedures
πŸŸͺ Non-network Co-paymentsCovers up to R16,000 for one claim per policy per year.
πŸŸ₯ MRI, PET, and CT scans exceeding medical aid sub-limitsCovers up to R3,700 per insured per policy per year.
🟧 Casualty Facility Treatment for the treatment of casualties in-hospital after 48 hours of accidental injuryCovers up to R25,400 per policy per year.
🟨 Covers after-hours emergency treatment in a casualty facility for children under 11Covers up to R2,800 per policy per year.
🟩 Internal ProsthesesCovers up to R44,000 per policy per year.
🟦 StentsCovers up to R3,700 per insured per policy per year.
πŸŸͺ Robotic Medical Procedures – covers shortfalls from using robotic machines for in-hospital treatment.Covers up to R37,600 per policy per year.
πŸŸ₯ Oncology Program Cop-paymentsCovers general and specialized treatment and biological drugs. There is a 25% co-payment on the cost of treatment.
🟧 Oncology Program Exceeding the Medical Aid Cancer LimitThe benefit can be used for general and specialized treatment and biological drugs. Covers 20% of the affected insured person’s continued treatment cost.
🟨 Cosmetic Breast Reconstruction of the non-affected breast after a single mastectomy caused by breast cancer.Covers up to R27,500 for each individual insured.
🟩 Enhanced Cancer CoverProvides R30,000 for any unexpected costs associated with a first-time cancer diagnosis.
🟦 Accidental DentistryCovers up to R25,700 for accidental tooth fractures and up to R3,700 per fractured tooth.
πŸŸͺ Accidental Death and Permanent Disability CoverCovers up to R50,000 for unexpected costs if the main policyholder accidentally dies or is completely and permanently disabled.
πŸŸ₯ Trauma Counselling CoverCovers up to R30,300 per policy per year or R900 per session within 6 months of the traumatic event.
🟧 Medical Aid and Gap Cover WaiverCovers up to R122,400 after the policyholder accidentally dies or is permanently disabled.
   

πŸ’™Discover more about Health Insurance for Globetrotting

liberty cancer cover

Liberty Universal Gap Cover Exclusions and Waiting Periods

Liberty Universal Gap Cover Exclusions

  πŸ’™Exclusions on the Essential Gap Cover plan include, but are not limited to, the following, with the full list available here:
  • βœ… Nuclear weapons, as well as ionizing and nuclear radiation
  • βœ… Suicide, attempted suicide, or intentional self-injury
  • βœ… Any illness or injury caused by the consumption of alcohol
  • βœ… Illegal behavior or violations of the Republic of South Africa laws
  • βœ… Medical practitioners’ daily expenses
  • βœ… Breast and dental implants.
  • βœ… Medical emergency transportation
  Dental procedures performed as an out-patient    

Liberty Universal Gap Cover Waiting Periods

  • βœ… Cover begins immediately on the policy’s start date, with no waiting periods.
  • βœ… Medical conditions within 12 months before the policy’s start date are not eligible for benefits.
  • βœ… Pregnancy before the policy’s start date is considered a pre-existing condition, with a 12-month exclusion period for pregnancy or birth-related claims.
    If the policyholder had previous cover under a similar policy, the pre-existing condition waiting period applies only to the unexpired part of the previous policy period. However, the full 12-month exclusion period applies to benefits not provided under the previous policy.  

πŸ’™Discover the Best Medical Aids in South Africa Cover IVF

Liberty Universal Gap Cover Exclusions and Waiting Periods

Liberty Universal Gap Cover vs Other Gap Cover Plans

πŸ”Ž ProviderπŸ₯‡ Liberty Universal Gap CoverπŸ₯ˆ Stratum Benefits Elite Gap CoverπŸ₯‰ Sirago Plus Gap
πŸŸ₯ Years in Operation66 years24 years30 years
🟧 UnderwritersGuardrisk Life Limited (FSP 76)Guardrisk Insurance Company Limited (FSP 75)GENRIC Insurance Company Limited (FSP: 43638)
🟨 Market Share in South Africa>25%>5%>10%
🟩 Gap Cover Waiting Period12 months3 Months3 months
🟦 Do Exclusions Applyβœ… Yesβœ… Yesβœ… Yes
πŸŸͺ Average Monthly PremiumR537R481R466
πŸŸ₯ Oncology Benefitβœ… Yesβœ… Yesβœ… Yes
🟧 In-Hospital Benefitβœ… Yesβœ… Yesβœ… Yes
🟨 Out-of-Hospital Coverβœ… Yesβœ… Yesβœ… Yes
🟩 Maternity BenefitNoneβœ… Yesβœ… Yes
🟦 Scopes and Scansβœ… Yesβœ… Yesβœ… Yes
πŸŸͺ Co-payment Coverβœ… Yesβœ… Yesβœ… Yes
πŸŸ₯ Emergency Roomβœ… Yesβœ… Yesβœ… Yes
🟧 Accidental Coverβœ… Yesβœ… Yesβœ… Yes
🟨 Trauma Counselingβœ… Yesβœ… Yesβœ… Yes
🟩 Premium Waiverβœ… Yesβœ… Yesβœ… Yes
🟦 Non-DSP Co-Paymentβœ… Yesβœ… Yesβœ… Yes
πŸŸͺ Prosthesesβœ… Yesβœ… Yesβœ… Yes
πŸŸ₯ Travel Cover ExtenderNoneβœ… YesNone
🟧 Accidental Death/ Permanent Disabilityβœ… Yesβœ… Yesβœ… Yes
   

πŸ’™POLL: 5 Best Gap Cover Alternatives for Under R200

Liberty shortfall cover

Our Verdict on Liberty Universal Gap Cover

Our verdict on Liberty Universal Gap Cover is that it offers comprehensive coverage for various healthcare needs and can be a valuable addition to your overall healthcare plan. With benefits that include cover for in-hospital and out-of-hospital procedures, non-network co-payments, diagnostic scans, casualty facility treatment, and more, policyholders can know they are protected against medical expense shortfalls. While the plan does not provide maternity benefits and excludes a travel cover extender, the overall cover and competitive premiums make Liberty Universal Gap Cover a favorable choice.    

Liberty Universal Gap Cover Frequently Asked Questions

What is the annual cover limit for Liberty Universal Gap Cover?

Liberty Universal Gap Cover’s overall annual cover limit is R230 000 per insured per year. This limit ensures that policyholders have substantial financial protection against medical expense shortfalls.  

Does Liberty Universal Gap Cover provide cover for non-network co-payments?

Yes, Liberty Universal Gap Cover includes cover for non-network co-payments. It provides up to R16 000 for one claim per policy per year, ensuring that policyholders have financial support when receiving treatment from non-network healthcare providers.  

Are MRI, PET, and CT scans exceeding medical aid sub-limits covered by Liberty Universal Gap Cover?

Liberty Universal Gap Cover covers MRI, PET, and CT scans that exceed medical aid sub-limits. Policyholders can receive a cover of up to R3,700 per insured per policy per year for these essential diagnostic procedures.  

Does Liberty Universal Gap Cover include benefits for casualty facility treatment?

Yes, Liberty Universal Gap Cover covers casualty facility treatment for the in-hospital treatment of casualties following accidental injury.Β  Policyholders can receive a cover of up to R25,400 per policy per year, providing financial support in case of emergencies.  

What additional benefits does Liberty Universal Gap Cover provide?

Liberty Universal Gap Cover offers a range of additional benefits, including cover for internal prostheses, robotic medical procedures, trauma counseling, accidental dentistry, enhanced cancer cover, and cover for accidental death or permanent disability.
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