CORPORATE GAP COVER & OPTIMISER PRODUCT RANGES
Corporate Gap Cover Options for Employer Groups
ENTRY
BENEFIT COVER
CORPORATE COMPACT300
Our well-rounded option is packed with benefits that cover the most often experienced in- and out-of-hospital medical expense shortfalls.
BENEFIT OVERVIEW
• 300% GAP COVER
• CO-PAYMENT BENEFIT FOR:
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• DENTAL COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• MATERNITY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• RADIOLOGY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– SUB-LIMIT | MRI, CT AND PET SCANS
• SUB-LIMIT BENEFIT FOR:
– INTERNAL PROSTHETIC DEVICES
• CANCER BENEFIT
– CANCER TREATMENT SHORTFALLS
– CANCER TREATMENT TOP-UP
• CASUALTY BENEFITS
– ACCIDENTAL EVENTS
– ILLNESS EVENTS
• TRAUMA COUNSELLING BENEFIT
• PAYOUT BENEFITS FOR:
– ACCIDENTAL DEATH AND DISABILITY
– FIRST-TIME CANCER DIAGNOSIS
MEDIUM
BENEFIT COVER
CORPORATE MERIDIAN400
Our middle-of-the-range option covers the most often experienced in-hospital medical
expense shortfalls.
Benefit Overview
• 400% GAP BENEFIT
• CO-PAYMENT BENEFITS FOR:
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
– SCOPES
• DENTAL COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• MATERNITY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• RADIOLOGY COVER
– GAP BENEFIT
– MRI, CT PET SCANS
• SUB-LIMIT BENEFIT FOR:
– INTERNAL PROSTHETIC DEVICES
• CANCER BENEFIT
– CANCER TREATMENT SHORTFALLS
• CASUALTY BENEFITS
– ACCIDENTAL EVENTS
– ILLNESS EVENTS
• TRAUMA COUNSELLING BENEFIT
MEDIUM
BENEFIT COVER
CORPORATE NOVA500
Our well-balanced option covers the most often experienced in-hospital
medical expense shortfalls.
Benefit Overview
• 500% GAP BENEFIT
• CO-PAYMENT BENEFIT FOR:
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• DENTAL COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• MATERNITY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• RADIOLOGY COVER
– GAP BENEFIT
– MRI, CT PET SCAN AND SCOPE CO-PAYMENTS
• SUB-LIMIT BENEFIT FOR:
– INTERNAL PROSTHETIC DEVICES
• CANCER BENEFIT
– CANCER TREATMENT SHORTFALLS
• CASUALTY BENEFIT
– ACCIDENTAL EVENTS
HIGH
BENEFIT COVER
CORPORATE
ELITE500
Our top-of-the-range option offers the widest range of in- and out-of-hospital benefits at the highest level of cover.
Benefit Overview
• 500% GAP BENEFIT
• CO-PAYMENT BENEFITS FOR:
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
– ROBOTIC SURGERY
• DENTAL COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• MATERNITY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
– OUT-PATIENT SPECIALIST CONSULTATION
– PRIVATE ROOM
• RADIOLOGY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
– SUB-LIMIT | MRI, CT AND PET SCANS
– TOP-UP | MRI, CT AND PET SCANS
• SUB-LIMIT BENEFIT FOR:
– COLONOSCOPIES, ENTEROSCOPIES AND GASTROSCOPIES
– INTERNAL PROSTHETIC DEVICES
– RENAL DIALYSIS TREATMENTS
– TOP-UP | INTERNAL PROSTHETIC DEVICES
• CANCER BENEFITS
– BREAST RECONSTRUCTION
– CANCER TREATMENT SHORTFALLS
– CANCER TREATMENT TOP-UP
• PHYSICAL REHABILITATION TOP-UP
• OUT-PATIENT SPECIALIST CONSULTATION BENEFIT
• CASUALTY BENEFITS
– ACCIDENTAL EVENTS
– ILLNESS EVENTS
• TRAUMA COUNSELLING BENEFIT
• PREVENTATIVE CARE BENEFIT
• PRIVATE ROOM BENEFIT
• PAYOUT BENEFITS FOR:
– ACCIDENTAL DEATH AND DISABILITY
– FIRST-TIME CANCER DIAGNOSIS
• WAIVER BENEFITS FOR:
– MEDICAL AID CONTRIBUTION
– STRATUM POLICY PREMIUM
• INTERNATIONAL TRAVEL INSURANCE LIFESTYLE BENEFIT
Corporate OPTIMISER Options for Employer Groups
EXTRA
BENEFIT COVER
CORPORATE
ACCESS
Our booster option covers specific medical procedures, treatments, scans, and surgeries that some medical aid plans exclude.
Benefit Overview
• ACCESS BENEFIT
– 16 LISTED MEDICAL PROCEDURES/EVENTS NOT COVERED BY YOUR MEDICAL AID
• CASUALTY BENEFITS
– ACCIDENTAL EVENTS
– ILLNESS EVENTS
• PAYOUT BENEFIT FOR:
– ACCIDENTAL DEATH AND DISABILITY
EXTRA PLUS
BENEFIT COVER
CORPORATE ACCESS CO-PAY PLUS300
Our booster option covers specific medical procedures, treatments, scans, and surgeries that some medical aid plans exclude. It also covers the most often experienced in- and out-of-hospital medical expense shortfalls for medical procedures that aren’t excluded, and refunds co-payments and deductibles.
Benefit Overview
• ACCESS BENEFIT
– 16 LISTED MEDICAL PROCEDURES/EVENTS NOT COVERED BY YOUR MEDICAL AID
• 300% GAP BENEFIT
• CO-PAYMENT BENEFIT FOR:
– ADMISSIONS AND PROCEDURES
• DENTAL COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
• MATERNITY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
• RADIOLOGY COVER
– GAP BENEFIT
– ADMISSIONS AND PROCEDURES
• CASUALTY BENEFITS
– ACCIDENTAL EVENTS
– ILLNESS EVENTS
• PAYOUT BENEFIT FOR:
– ACCIDENTAL DEATH AND DISABILITY
EXTRA PLUS
BENEFIT COVER
CORPORATE ACCESS PLUS500
Our booster option covers specific medical procedures, treatments, scans, and surgeries that some medical aid plans exclude. It also covers the most often experienced in- and out-of-hospital medical expense shortfalls for medical procedures that aren’t excluded.
Benefit Overview
– 16 LISTED MEDICAL PROCEDURES/EVENTS NOT COVERED BY YOUR MEDICAL AID
• 500% GAP BENEFIT
• DENTAL COVER
– GAP BENEFIT
• MATERNITY COVER
– GAP BENEFIT
• RADIOLOGY COVER
– GAP BENEFIT
• CASUALTY BENEFITS
– ACCIDENTAL EVENTS
– ILLNESS EVENTS
• PAYOUT BENEFIT FOR:
– ACCIDENTAL DEATH AND DISABILITY
