What Does ‘no Gap’ mean with Private Health insurance?

So you have private health insurance and want to know how much you might have to pay for medical treatments out of your own pocket? We've got you covered with our easy guide FAQ.

Q: What does 'no gap' mean when it comes to private health insurance?

A: Basically, it means that you won't have to pay anything out of your own pocket for certain medical procedures, these are covered by your private health insurance. It’s the difference between what your doctor or hospital charges and what your private health fund will pay and it’s known as the 'gap'.  With a 'no gap' arrangement, your insurance will cover the full cost of the service minus your excess if applicable.

Q: So, I won't have to pay anything extra?

A: That's right! With the 'no gap' arrangement, you won't be left with any unexpected bills to pay. Your private health insurance will cover the full cost of the medical procedure, so you can focus on your health and recovery.

Q: How does it work?

A: To be eligible for a 'no gap' service, you’ll need to use a provider who is a part of your private health insurance preferred provider' network. This means that the provider agrees to charge you a set fee for a particular medical service, and your private health insurance will cover this fee in full. This way, you can be sure that you won't have to pay anything out of your own pocket.

Q: Can I get 'no gap' for any medical procedure?

A: Unfortunately, 'no gap' is only available for some medical services, and only if you use a provider who is part of your private health insurance provider's 'preferred provider' network.

Q: Is 'no gap' the same as 'bulk billing'?

A: No, they're not the same thing. 'Bulk billing' is when medical providers bill Medicare directly for their services, so you don’t have to pay anything out of your own pocket. 'No gap' is a service that's offered by private health insurance providers, and it covers the full cost of certain medical procedures.If you're interested in comparing health insurance policies, give us a call at 1300 861 413 or check out our website at http://health.compare/. We're here to help you make informed decisions about your health!