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Overall, Standard Bank GapAssist Essential is a trustworthy short-term insurance product designed to provide extra protection for those who already have medical aid. The Standard Bank GapAssist Essential Plan starts from R351 ZAR. Standard Bank has a trust score of 4.4.
🔎 Provider | 🥇 Standard Bank GapAssist Essential |
🟥 Years in Operation | 61 years (Standard Bank) |
🟧 Underwriters | Standard Insurance Limited |
🟨 Market Share in South Africa | <10% |
🟩 Gap Cover Waiting Period | 12 Months |
🟦 Do Exclusions Apply | ✅ Yes |
🟪 Average Monthly Premium | R351 |
🟥 Oncology Benefit | None |
🟧 In-Hospital Benefit | ✅ Yes |
🟨 Out-of-Hospital Cover | ✅ Yes |
The Standard Bank GapAssist Essential is one of three plans that starts from R351 per month. Standard Bank’s GapAssist Essential has benefits for MRI, CT, and PET scans, an emergency treatment for children, accidental dentistry, premium waiver, and more.
Standard Bank Gap Cover offers 24/7 medical emergency assistance.
Standard Bank GapAssist Gap Cover has three plans to choose from:
🟥 Cover for Individuals | 🟥 Monthly Contribution |
🟧 <35 Years | R351 per month |
🟨 <55 Years | R351 per month |
🟩 55 – 64 Years | R439 per month |
🟦 >65 Years | R520 per month |
🟪 Cover for Families | 🟪 Monthly Contribution |
🟥 Where all insured are <65 Years | R439 per month |
🟧 Where one or more insured are >65 Years | R520 per month |
🅰️ Section A – Medical Expense Shortfall Cover | 🅱️ Section B – Health Insurance Benefits |
🟧 In-hospital and out-of-hospital cover up to 300% of the medical aid tariff. | 🟧 Accidental dentistry covers up to R22,500 for accidental tooth fractures, regardless of medical aid contribution, paid at a rate of R3,200 per fractured tooth. |
🟨 General co-payments for hospital admission, CT, PET, and MRI scans are covered. | 🟨 Accidental Death and Disability cover up to R50,000 for members under 65. |
🟩 Casualty and emergency room treatments covered up to R22,100 per policy annually. | 🟩 Trauma counseling covers up to R800 per session. Annual limit of R26,500 for treatment initiated within six months of the event paid up to six months of treatment. |
🟦 Emergency treatment for children under 11 at casualty facilities covered up to R2,500 per policy per year. | 🟦 Medical Aid Gap Cover Premium Waiver covers 12 times the combined medical aid, up to R110,000 for insured individuals under 65. |
Standard Bank’s GapAssist Essential Plan exclusions include, but are not limited to, the following, with the full list available here:
Furthermore, policies do not cover pre-existing conditions related to:
The following can be said about Standard Bank GapAssist Essential’s waiting periods:
If the policyholder had prior coverage under a similar Medical Expense Shortfall Policy, the waiting period for pre-existing conditions only applies to the remaining duration from the previous policy.
🔎 Provider | 🥇 Standard Bank GapAssist Essential | 🥈 Ambledown Gap Supreme | 🥉 Auto & General Absolute Gap Cover |
🟥 Years in Operation | 61 years (Standard Bank) | 19 years | 38 years |
🟧 Underwriters | Standard Insurance Limited | Guardrisk Insurance Company Limited | 1Life Insurance Limited |
🟨 Market Share in South Africa | <10% | 20% | <5% |
🟩 Gap Cover Waiting Period | 12 Months | 3 – 12 months | 10 months |
🟦 Do Exclusions Apply | ✅ Yes | ✅ Yes | ✅ Yes |
🟪 Average Monthly Premium | R351 | R613 | R450 |
🟥 Oncology Benefit | None | ✅ Yes | ✅ Yes |
🟧 In-Hospital Benefit | ✅ Yes | ✅ Yes | ✅ Yes |
🟨 Out-of-Hospital Cover | ✅ Yes | ✅ Yes | ✅ Yes |
🟩 Maternity Benefit | None | None | None |
🟦 Scopes and Scans | ✅ Yes | ✅ Yes | ✅ Yes |
🟪 Co-payment Cover | None | ✅ Yes | ✅ Yes |
🟥 Emergency Room | ✅ Yes | ✅ Yes | ✅ Yes |
🟧 Accidental Cover | ✅ Yes | ✅ Yes | ✅ Yes |
🟨 Trauma Counseling | ✅ Yes | None | None |
🟩 Premium Waiver | ✅ Yes | ✅ Yes | ✅ Yes |
🟦 Non-DSP Co-Payment | None | ✅ Yes | ✅ Yes |
🟪 Prostheses | None | None | ✅ Yes |
🟥 Travel Cover Extender | None | None | None |
🟧 Accidental Death/ Permanent Disability | ✅ Yes | None | None |
According to our research, Standard Bank Gap Cover has a long-standing presence in the market, with 61 years of operation and a market share of less than 10%.
Standard Bank GapAssist Essential offers a basic level of gap cover with various benefits, including cover for scans, emergency treatment, and accidental dentistry. In addition, it has a competitive starting premium of R351 per month, making it an affordable option for individuals and families.
While the plan covers in-hospital and out-of-hospital expenses up to 300% of the medical aid tariff, it lacks certain benefits, such as oncology cover, maternity benefits, co-payment cover, and trauma counseling.
The monthly premium for Standard Bank GapAssist Essential starts from R351 per month for individuals.
Yes, GapAssist Essential provides cover for MRI, CT, and PET scans. These diagnostic procedures are included in the plan’s benefits.
Yes, GapAssist Essential covers accidental dentistry. It provides cover for accidental tooth fractures up to R22,500, paid at R3,200 per fractured tooth, regardless of the medical aid contribution.
Yes, GapAssist Essential includes a premium waiver benefit. The Medical Aid Gap Cover Premium Waiver covers 12 times the combined medical aid, up to R110,000, for insured individuals under 65.
Yes, GapAssist Essential has a waiting period of 12 months for pre-existing conditions. During this period, benefits related to pre-existing conditions will not be covered.
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