Lifestyle&Tech – 5th August 2025
Wellness is increasingly a priority for women, including nutrition, fitness, mindfulness, and preventative healthcare. An important part of a holistic wellness strategy, however, is your financial wellbeing, and even the best strategy can be derailed by unexpected healthcare costs, no matter how young and healthy you are. Medical aid is an essential cover to have in South Africa, but it frequently falls short of covering the full extent of medical expenses, even on the top-tier plans. A routine gynaecological procedure, an emergency surgery, or an unexpected hospital bill can derail not just wellness goals but financial ones too. This is where gap cover becomes an essential and empowering part of your financial toolkit.
Your financial adviser is a key resource to assist with the alignment of your medical cover to your overall investment strategy and commitments.
Medical aid isn’t enough anymore
Even if you prioritise your physical and mental health, medical expenses are often unavoidable and can come with surprising and unwelcome bills. Accidents can happen to anyone, resulting in a trip to the emergency room that leads to unanticipated out-of-pocket expenses. Laparoscopies, hysteroscopies, D&Cs and other gynaecological procedures are frequently not fully covered by even the most comprehensive medical aid. When it comes to maternity-related expenses, even a straightforward birth can result in shortfalls, but when you factor in emergency C-sections and neonatal complications, the out-of-pocket expenses can be extreme. We have seen the overall costs of some of our emergency C-Section claims having an overall cost of around R50, 000 and a shortfall after the medical aid payment of approximately R38,000
The reality is that most medical aids will only pay up to 200% of the scheme rate, while specialists often charge as much as 500% of this same rate, and the patient is liable for the difference – unless you have gap cover in place. Gap cover helps to cushion the blow, with additional cover for these specialist shortfalls as well as cover for co-payments, sub-limits and more, ensuring that health does not become a financial burden.
You’re never too young to prioritise your financial health
Many women in their 20s and 30s assume that gap cover is only necessary once they start a family or face a health crisis. The reality is that the earlier you take out gap cover, the sooner you are protected from a range of medical expense shortfalls, and even healthy women in these age groups need medical assistance.
Common procedures or emergency surgeries can carry unexpected shortfalls. Reproductive health can also be unpredictable, and even otherwise healthy women can suffer from ovarian cysts and endometriosis that require surgical intervention. When it comes to maternity benefits, these are often excluded from gap cover for at least 10 months after you join, so it pays to plan ahead if you are thinking of starting a family.
Financial self-care in the form of gap cover helps you to lock in lower premiums, avoid exclusions for future conditions, and leverage the value of a lifetime of financial protection from medical expense shortfalls. By budgeting for gap cover, you can ensure that your medical needs do not throw your financial goals off track.
Get the right cover for life
When it comes to choosing a gap cover product, there is no one-size-fits-all solution. The best policy for you depends on your medical aid, your health history, and your future plans. It is important to understand what shortfalls there are on your medical aid plan, as well as your current state of health and financial preparedness. In addition, if you are planning on having children in the next few years, it is essential to ensure you have adequate maternity and postpartum cover in place.
Your gap cover should fill in the holes left by medical aid to give you protection against co-payments, specialists shortfalls, maternity benefits, oncology support, and more. It offers an empowering tool to ensure that your medical needs do not become a financial setback. Speak to a broker or adviser who understands both the healthcare landscape and women’s health needs specifically to find the right solution for you.
Tony Singleton – CEO Turnberry Management Risk Solutions (Pty) Ltd
Unseen medical costs are derailing women’s wellness goals – Lifestyle & Tech
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Client Testimonials
BEST INSURANCE PRODUCT I HAVE EVER PURCHASED. Have claimed numerous times and always been paid in full in a short space of time. No drama or fuss of insurer looking for reasons not to pay. I have already recommended Turnberry Gap Cover to my family, friends and colleagues, and will continue to do so. Happy to have my name used for a product that I highly recommend. Fran Davidson
We are very happy Turnberry customers. Turnberry has assisted us with claims payments for 2 spinal operations for just under R200k within a year. We have paid the Doctors and they were stunned with the quick claims payments to them. The claims Assessing team is SO Professional with a great Claims Manager. Thank you for your effective, quality and quick turn-around-time. We will continue to tell everyone about Turnberry. Thank you Henriette & Martin