In the realm of healthcare, medical gap cover has become increasingly important for individuals and families seeking comprehensive financial protection against unexpected medical expenses. Stratum Benefits (Pty) Ltd, an authorized financial services provider (FSP 2111), offers a comprehensive medical gap cover solution designed to bridge the financial gap that often exists between your medical aid coverage and the actual costs of medical procedures. In this article, we will delve into the key aspects of Stratum Benefits’ medical gap cover policy.

What is Medical Gap Cover?

Medical gap cover, as offered by Stratum Benefits, is an insurance policy that complements your existing medical aid plan. It is specifically designed to cover the shortfalls or gaps in medical expenses that may arise when your medical procedure costs exceed what your medical aid plan covers. This coverage is essential in helping individuals and families avoid unexpected financial burdens during medical emergencies.

Stratum Benefits’ Gap Cover Options:

Stratum Benefits offers a range of gap cover options to cater to the diverse needs of individuals and families. Here are some key options available:

1. Base Premiums for Individuals and Families:

1. • Premiums determined by age at entry with no maximum entry age.
   • Coverage for individuals, families, and spouses.
   • Comprehensive coverage for common medical expense shortfalls.
2. Gap Cover 500 Range:
   • An overall policy limit (OPL) of R 185,837 per insured person per year applies.
   • Coverage for various in- and out-of-hospital medical events, including surgeries, blood tests, and medication.
   • Specific coverage for dental, maternity, and radiology expenses.

Key Benefits of Stratum Benefits’ Medical Gap Cover:

1. Coverage for Shortfalls: Stratum Benefits‘ gap cover policies provide coverage for shortfalls between the actual cost of medical procedures and what your medical aid plan covers.

2. In-and-Out-of-Hospital Cover: The gap cover extends to both in-hospital and out-of-hospital medical events, ensuring comprehensive protection.

3. Specialized Coverage: Stratum Benefits covers a wide range of medical events, including dental procedures, maternity expenses, and radiology costs.

4. Trauma Counselling Benefit: In times of trauma, the policy offers coverage for counselling fees, providing emotional support during challenging times.

5. Payout Benefits: The policy includes benefits for accidental death and disability, as well as a first-time cancer diagnosis benefit.

HEALTH INSURANCE PRODUCT RANGE

EMERGENCY & ACCIDENT BENEFIT OPTION

We offer a wide range of benefits from private hospitalisation and casualty visits, to specialised radiology scans and 24-hour medical emergency services, and…

Conclusion

Waiting Periods and Exclusions:

It’s essential to understand that gap cover policies may have waiting periods and exclusions. Stratum Benefits implements a 3-month general waiting period and a 12-month pre-existing condition waiting period. Additionally, there is a 10-month limited payout benefit that applies to specific medical events.

Medical gap cover, as offered by Stratum Benefits (Pty) Ltd, serves as a vital financial safety net, protecting individuals and families from unexpected medical expenses. With a variety of coverage options and benefits, Stratum Benefits provides peace of mind, ensuring that you are financially prepared for any medical eventuality.

Remember that while this article provides an overview of Stratum Benefits’ medical gap cover, it’s essential to review the policy details, terms, and conditions to fully understand the coverage and benefits offered. Gap cover can be a valuable addition to your healthcare financial planning, ensuring that you receive the medical care you need without the burden of unforeseen expenses.

Conclusion

Waiting Periods and Exclusions:

It’s essential to understand that gap cover policies may have waiting periods and exclusions. Stratum Benefits implements a 3-month general waiting period and a 12-month pre-existing condition waiting period. Additionally, there is a 10-month limited payout benefit that applies to specific medical events.

Medical gap cover, as offered by Stratum Benefits (Pty) Ltd, serves as a vital financial safety net, protecting individuals and families from unexpected medical expenses. With a variety of coverage options and benefits, Stratum Benefits provides peace of mind, ensuring that you are financially prepared for any medical eventuality.

Remember that while this article provides an overview of Stratum Benefits’ medical gap cover, it’s essential to review the policy details, terms, and conditions to fully understand the coverage and benefits offered. Gap cover can be a valuable addition to your healthcare financial planning, ensuring that you receive the medical care you need without the burden of unforeseen expenses.