{"id":2836,"date":"2019-01-25T13:44:04","date_gmt":"2019-01-25T13:44:04","guid":{"rendered":"https:\/\/turnberry.co.za\/2023\/?p=2836"},"modified":"2024-01-10T08:12:50","modified_gmt":"2024-01-10T08:12:50","slug":"the-role-of-gap-cover-in-womens-healthcare","status":"publish","type":"post","link":"https:\/\/turnberry.co.za\/2027\/the-role-of-gap-cover-in-womens-healthcare\/","title":{"rendered":"The role of Gap Cover in women’s healthcare"},"content":{"rendered":"

\"TheGap Cover<\/a> is increasingly being recognised as a vital means of bridging the gap between what specialists charge for in-hospital procedures, and what Medical Aids are able to pay. But it\u2019s worth noting that for women in particular, Gap Cover plays a key role in helping one manage their medical and financial affairs.<\/p>\n

\u201cIn many specialist fields devoted specifically to women \u2013 the likes of gynecology, obstetrics, and female-focused cancer care \u2013 we\u2019re seeing escalating costs,\u201d notes Turnberry\u2019s Wendy Bussey.<\/p>\n

In areas like gynecology and obstetrics, these surging costs result from medical inflation in areas like medical malpractice insurance.<\/p>\n

In a recent column, South African Minister of Health, Aaron Motsoaledi, notes that: \u201cAbout eight years ago, obstetricians and gynecologists paid R78,000 a year for insurance.in 2017, the Medical Protection Society\u2019s insurance costs R800,000 \u2014 an increase of 925%.\u201d<\/p>\n

Bussey notes that as some gynecologists withdraw from the obstetrics field due to the high insurance costs<\/a>, we\u2019re left with ever fewer practising obstetricians, which only adds to the inflationary effect.<\/p>\n

Turning our attention to cancer care for a moment, she notes that Turnberry has sadly seen a sharp rise in womens\u2019 claims over recent years. And Turnberry isn\u2019t the only medical insurer to note this trend: a report issued by Discovery Health showed an astonishing 45% rise in cancer claims between 2011 and 2017, and noted breast cancer<\/a> as one of the most common types of cancer claims.<\/p><\/blockquote>\n

\u201cAll of this has resulted in a situation where women are left very vulnerable to medical expense shortfalls,\u201d she explains.<\/p>\n

Often, these common claims from women extend further than just the initial diagnosis and treatment. Breast cancer, for instance, isn\u2019t just about the removal of the cancerous tissue, but it also includes the reconstruction afterwards.<\/p>\n

Bussey explains that your Medical Aid and Gap Cover combination<\/a> needs to cover the entire spectrum of medical procedures and services that you may need: \u201cIn Turnberry\u2019s case, we don\u2019t just fund the medical expense shortfalls for breast cancer surgeries, but we\u2019ve also assisted members when their oncology benefits have been exhausted for traditional and biological cancer drugs.\u201d<\/p>\n

In childbirth, there may be circumstances where the newborn baby needs neonatal ICU or in-hospital observation over their first few days of life \u2013 or perhaps something even more serious like a heart condition requiring immediate surgery.<\/p>\n

Bussey points to a Gap Cover claim from earlier in 2018 \u2013 for almost R92 000 \u2013 for a baby born with a rare medical condition. \u201cFor a family that is welcoming a new baby, and all the additional costs that brings, an out-of-pocket expense of close to R100 000 is very difficult for most households to endure.\u201d<\/p>\n

Fortunately, for that family, Turnberry covered the medical expense shortfall<\/a>.<\/p>\n

When asked about some of the other common claims from women, she notes an increase in the number of women needing treatments for ovarian cysts, endometriosis, fibroids, dilation and curettage \u2013 as well as procedures like hysterectomies, laparoscopies, hysteroscopies.<\/p>\n

\u201cThe health of our women is fundamental to the happiness and prosperity of our families, and ultimately of our broader society,\u201d adds Bussey, \u201cit\u2019s absolutely critical for women to look after their health, supported by a quality Medical Aid and Gap Cover that\u2019s geared to their unique needs.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Gap Cover is increasingly being recognised as a vital means of bridging the gap between what specialists charge for in-hospital procedures, and what Medical Aids are able to pay. 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