Get A Quote

Thank you for your interest in Hollard Gap Cover.

Please fill in the details below to get your monthly premium.

Then complete our quick and easy 4-minute online application form and have your cover in place in under 15 minutes.

As easy as that!

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Quote Type

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How would you like to complete your quote ?(Required)

Online

Please give me a call

Personal Details(Required)

First Name Surname

Contact Number(Required)

Age of Policyholder(Required)

Please enter a number less than or equal to 65.

Please note:

Premium Basis: Premium calculations are determined solely on the age of the main member at the time of joining.
Main member requirement: The individual registered as the main member on the gap cover policy must also be the main member on the underlying medical scheme.
Maximum Entry age: The maximum entry age for any person joining gap cover is 65 years. If a spouse or dependent is older than 65 at the time of application, they are not eligible for cover.

Medical Scheme(Required)

Medical Scheme Option(Required)

Do you want to include your spouse? Is your spouse < 65yrs?(Required)

Yes

No. of children (< 24 years)(Required)

Please enter a number less than or equal to 10.

No. of children (24+ years)(Required)

Please enter a number less than or equal to 10.

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Would you like a copy of your Hollard Gap Cover Quote ?

Yes

Could you please provide your email address so that we can share a copy of your quote with you(Required)

Enter Email Confirm Email

Do you currently have a Hollard broker assisting you?(Required)

Yes, a broker is assisting me

No, I am applying directly

I am a broker requesting a quote

Contact Number(Required)