EXPLORING STRATUM BENEFITS’ MEDICAL GAP COVER:
COMPREHENSIVE COVER FOR YOUR HEALTHCARE EXPENSES!

In today’s fast-paced world, maintaining good health is more important than ever. While medical aid plans provide essential healthcare cover, they often leave gaps that can lead to unexpected out-of-pocket expenses. Stratum Benefits (Pty) Ltd offers tailored solutions to help bridge these shortfalls with our specialised medical Gap Cover.

If you’re a medical aid member, you’re probably aware that your medical aid doesn’t cover all medical costs in full. You need Gap Cover insurance! It helps to cover the difference between what your doctor or specialist charges for medical procedures and what your medical aid pays.

If you’re looking for the best and most affordable Gap Cover, we offer comprehensive and pocket-friendly options that suit every healthcare need.

Get Gap Cover to cover shortfalls on medical procedures, dental procedures, childbirth, cancer treatment and more.

STILL NOT SURE? LET US CALL YOU BACK.

EXPLORING STRATUM BENEFITS’ MEDICAL GAP COVER: COMPREHENSIVE COVER FOR YOUR HEALTHCARE EXPENSES!

In today’s fast-paced world, maintaining good health is more important than ever. While medical aid plans provide essential healthcare cover, they often leave gaps that can lead to unexpected out-of-pocket expenses. Stratum Benefits (Pty) Ltd offers tailored solutions to help bridge these shortfalls with their specialised medical Gap Cover.

If you’re a medical aid member, you’re probably aware that your medical aid doesn’t cover all medical costs in full. You need Gap Cover insurance! It helps to cover the difference between what your doctor or specialist charges for medical procedures and what your medical aid pays.

If you’re looking for the best and most affordable Gap Cover, we offer comprehensive and pocket-friendly options that suit every healthcare need.

Get Gap Cover to cover shortfalls on medical procedures, dental procedures, childbirth, cancer treatment and more.


GAP COVER &  OPTIMISER PRODUCT RANGES

Gap Cover Options for Individuals and Families

ENTRY

COVER

From R 330 p/m for individuals

Gap Cover Options from Stratum Benefits- Happy person jumping

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 BENEFITS 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 BENEFITS
– CANCER TREATMENT SHORTFALLS
– CANCER TREATMENT TOP-UP
• CASUALTY BENEFITS
• TRAUMA COUNSELLING BENEFIT
• PAYOUT BENEFITS FOR:
– ACCIDENTAL DEATH AND DISABILITY
– FIRST-TIME CANCER DIAGNOSIS

MEDIUM

COVER

From R 250 p/m for individuals

Gap Cover Options from Stratum Benefits- Happy person jumping

MERIDIAN400

Our middle-of-the-range option covers the most often experienced
in-hospital medical expense shortfalls.

BENEFIT OVERVIEW

SS• 400% GAP BENEFIT
• CO-PAYMENT BENEFITS FOR:
– ADMISSIONS AND PROCEDURES
– PENALTY CO-PAYMENTS
– SCOPE CO-PAYMENTS
• DENTAL COVER
– SPECIALIST SHORTFALLS
– ADMISSIONS AND PROCEDURES
– THE USE OF A NON-NETWORK HOSPITAL
• MATERNITY COVER
– CHILDBIRTH SHORTFALLS
– ADMISSIONS AND PROCEDURES
– PENALTY CO-PAYMENTS
• RADIOLOGY COVER
– RADIOLOGY SHORTFALLS
– MRI, CT AND PET SCAN CO-PAYMENTS
– MRI, CT AND PET SCANS SUB-LIMITS
• SUB-LIMIT BENEFIT FOR:
– INTERNAL PROSTHETIC DEVICES
• CANCER BENEFIT
-CANCER TREATMENT SHORTFALLS
• CASUALTY BENEFITS
– ACCIDENTAL EVENTS
– ILLNESS EVENTS
• TRAUMA COUNSELLING BENEFIT

HIGH

COVER

From R 481 p/m for individuals

Gap Cover Options from Stratum benefits - Family

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 BENEFITS FOR:
– COLONOSCOPIES, ENTEROSCOPIES AND GASTROSCOPIES
– SUB-LIMIT | INTERNAL PROSTHETIC DEVICES
– TOP-UP | INTERNAL PROSTHETIC DEVICES
– RENAL DIALYSIS TREATMENTS
• CANCER BENEFITS
– BREAST RECONSTRUCTION
– CANCER TREATMENT SHORTFALLS
– CANCER TREATMENT TOP-UP
• PHYSICAL REHABILITATION BENEFIT
• OUT-PATIENT SPECIALIST CONSULTATION BENEFIT
• CASUALTY BENEFITS
• 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
• LIFESTYLE BENEFIT