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Overall, Standard Bank GapAssist Optimal is a trustworthy short-term insurance product designed to provide extra protection for those who already have medical aid. The Standard Bank GapAssist Optimal Plan starts from R225 ZAR. Standard Bank GapAssist has a trust score of 4.4.
π Provider | π₯ Standard Bank GapAssist Optimal |
π₯ Years in Operation | 61 years (Standard Bank) |
π§ Underwriters | Standard Insurance Limited |
π¨ Market Share in South Africa | <10% |
π© Gap Cover Waiting Period | 12 Months |
π¦ Do Exclusions Apply | β Yes |
πͺ Average Monthly Premium | R225 |
π₯ Oncology Benefit | None |
π§ In-Hospital Benefit | β Yes |
π¨ Out-of-Hospital Cover | β Yes |
The Standard Bank GapAssist Optimal is one of three plans that starts from R225 per month. Standard Bankβs GapAssist Optimal has benefits for those under 35, spread across in and out-of-hospital, co-payments, non-network co-pays, scans, prostheses, accidental death, and more.
Standard Bank Gap Cover offers 24/7 medical emergency assistance.
Standard Bank GapAssist Gap Cover has three plans to choose from:
π °οΈ Cover for Individuals | π ±οΈ Monthly Contribution |
<35 Years | R225 per month |
π °οΈ Section A β Medical Expense Shortfall Cover | π ±οΈ Section B β Health Insurance Benefits |
π§ In-hospital and out-of-hospital cover up to 500% of the medical aid tariff. | π§ Accidental dentistry covers up to R22,500 for accidental tooth fractures, regardless of the medical aid contribution. |
π¨ Cover for general co-payments imposed by the policyholderβs medical aid. | π¨ Accidental Death and Disability cover up to R50,000 for members under 65. |
π© Cover for non-network co-payments charged by the policyholderβs medical aid. | π© 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. |
π¦ Covers MRI, PET, and CT scans exceeding the medical aid sub-limit. | π¦ Medical Aid Gap Cover Premium Waiver covers 12 times the combined medical aid, up to R110,000 for insured individuals under 65. |
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Standard Bankβs GapAssist Optimal 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 Optimalβs 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.
π Provider | π₯ Standard Bank GapAssist Optimal | π₯ Sirago Gap Lite | π₯ Sanlam Gap Cover |
π₯ Years in Operation | 61 years (Standard Bank) | 30 years | 9 years |
π§ Underwriters | Standard Insurance Limited | GENRIC Insurance Company Limited (FSP: 43638) | Centriq Insurance Company Limited |
π¨ Market Share in South Africa | <10% | >10% | <10% |
π© Gap Cover Waiting Period | 12 Months | From 3 months (up to 12) | 3 β 12 months |
π¦ Do Exclusions Apply | β Yes | β Yes | β Yes |
πͺ Average Monthly Premium | R225 | R249 | R246 |
π₯ Oncology Benefit | None | None | β Yes |
π§ In-Hospital Benefit | β Yes | β Yes | β Yes |
π¨ Out-of-Hospital Cover | β Yes | β Yes | β Yes |
π© Maternity Benefit | None | β Yes | None |
π¦ Scopes and Scans | β Yes | None | None |
πͺ Co-payment Cover | β Yes | β Yes | β Yes |
π₯ Emergency Room | β Yes | β Yes | β Yes |
π§ Accidental Cover | β Yes | β Yes | β Yes |
π¨ Trauma Counseling | β Yes | None | None |
π© Premium Waiver | β Yes | None | β Yes |
π¦ Non-DSP Co-Payment | β Yes | β Yes | β Yes |
πͺ Prostheses | β Yes | None | None |
π₯ Travel Cover Extender | None | None | None |
π§ Accidental Death/ Permanent Disability | β Yes | None | β Yes |
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Standard Bank GapAssist Optimal is a comprehensive gap cover plan offered by Standard Bank, designed specifically for individuals aged 35 years and younger.Β With a starting premium of R225 per month, this plan covers various medical expenses, including in-hospital and out-of-hospital treatments, co-payments, scans, and accidental death benefits.
While it offers a range of benefits, we found that it does not cover oncology or maternity benefits. However, in our experience, Standard Bank GapAssist Optimal can be suitable for young individuals seeking affordable and comprehensive gap cover.
GapAssist Optimal is available to individuals aged 35 and younger looking for comprehensive gap cover to supplement their medical aid.
The monthly premium for GapAssist Optimal starts from R225 per month, making it an affordable option for young individuals seeking gap cover.
GapAssist Optimal covers in-hospital and out-of-hospital expenses up to 500% of the medical aid tariff, co-payments, non-network co-pays, scans, prostheses, and accidental death benefits.
No, GapAssist Optimal does not cover oncology or maternity benefits. Reviewing the planβs benefits and limitations is important to ensure it aligns with specific needs.
GapAssist Optimal has a waiting period of 12 months for pre-existing conditions. Therefore, knowing the waiting periods and exclusions specified in the policy is important.
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