Prosperity Life

DOC-GAP

Doc-Gap cover is specially designed to complement PSEMAS
(Government Medical Aid Fund).

It is an outpatient medical gap insurance that covers the difference between the PSEMAS approved tariff and the rate insured for day-to-day consultations with general practitioners and dentists.

Doc-Gap covers you for the excess in tariff of 4 doctor consultation visits per year with your doctor of choice, and 2 dental consultation visits per year with your dentist of choice.

Excess of tariff for any additional day-to-day treatment and services may be funded from your Medbux balance, a medical wallet for medical consultations and procedures done in a doctor’s room or dentist’s chair. You will start with an inclusive Medbux of N$2,160.00 but you can add on to your Medbux options for additional consultation gap coverage.

From N$ 349 per month

What's included ?

Gap-cover for

Doctor and Dentist Consultations
Doc-Gap covers the difference between the PSEMAS approved tariff and the rate insured for day-to-day consultations with general practitioners and dentists.

Standalone + Add On

MEDBUX: offers flexible coverage for day-to-day consultations, in-room procedures, essential services, and dentistry. Pro-rated based on purchase date, unused MEDBUX rolls over annually, with extra benefit levels to fit your healthcare needs.

Standalone only

Hospicash50: cash payouts when hospitalised in a private hospital after the 3rd full day of hospitalisation from the 1st day of admission.

Funeral Cover: per principal policyholder insured.

Road and air ambulance evacuation: services within Namibia.

How Does it Work?

Doc-Gap policyholders are covered for the excess in tariff of a maximum of 4 consultations per year with their doctor of choice, and 2 consultations per year with their dentist of choice. Excess of tariff for any additional day-to day-treatment and services may be funded from the policyholder’s Medbux balance.