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HEALTH / GAP COVER CLAIM FORM | 2021 Insurer: Lombard Insurance Company Limited (Reg. No. 1990/001253/06) FSP no. 1596Risk and Underwriting Managers: Turnberry Management Risk Solutions (Pty) Ltd

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What is health gap cover claim?

A health gap cover claim is a request to an insurance provider for reimbursement of medical expenses that are not covered by a primary health insurance plan, specifically for out-of-pocket costs that exceed certain limits.

Who is required to file health gap cover claim?

Individuals who have incurred medical expenses that are not fully covered by their primary health insurance and who have purchased gap coverage are required to file a health gap cover claim.

How to fill out health gap cover claim?

To fill out a health gap cover claim, one must complete a claim form provided by the insurance company, including personal information, details of medical services received, itemized bills, and any other required documentation.

What is the purpose of health gap cover claim?

The purpose of a health gap cover claim is to enable policyholders to recover costs for medical expenses that exceed their primary insurance coverage, thereby alleviating financial strain from unexpected health costs.

What information must be reported on health gap cover claim?

Information that must be reported includes personal details of the claimant, provider information, dates of service, specific treatments received, itemized billing statements, and any applicable policy numbers.

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