designated service provider
In its simplest form, gap cover is designed to cover the difference between what your medical specialist charges for in-hospital treatment and your medical aid tariff, up to a certain limit, with top-end gap cover providers offering up to 600%
Medical expenses such as doctor, specialist and hospital costs are not regulated, and service providers are entitled to charge fairly for their services. However, the Department of Health has issued a price guideline (known as the Reference Price List (RPL))
