Your Insurance Benefits:
Cover up to 600% of medical aid rates
You have in-hospital cover up to 600% of medical aid rates.
Up to R219 845 Gap cover per year
We cover the medical expense shortfall for in-hospital treatment and certain defined outpatient procedures when your medical aid benefits aren’t enough, up to R219 845 per year per person.
Up to R10 000 casualty cover included
You get up to R10 000 per person for emergency medical or surgical procedures performed in a hospital casualty ward, as part of your R219 845 Gap Cover limit.
Co-payments and sub-limitation cover
You are covered for co-payments or deductibles charged by your medical aid for in-hospital admissions, certain major medical outpatient procedures and CT, MRI and PET scans. This benefit includes cover for the penalty imposed by your medical aid for the use of a non-network hospital and is limited to one payment per year, up to R13 000 per family. Plus you are covered for charges above the sub-limits imposed by your medical aid for in-hospital and defined outpatient treatments.
Cancer cover and extended cancer treatment cover
You are covered for the shortfall (co-payment or sub-limitation imposed by your medical aid) for traditional cancer treatment in a private facility, including in-hospital expenses, medication, chemicals and outpatient radiotherapy and chemotherapy. In cases where advanced cancer treatment is necessary, you are covered for the charges above the sub-limits imposed by your medical aid for the following treatment types: 1. biological cancer drugs 2. immunotherapy, 3. hormone therapy, 4. targeted therapy, 5. photodynamic therapy, 6. stem cell transplants Please note: the drugs and treatments are limited to a defined list, seen in your terms and conditions, and specific subgroups of cancer categories.
Your Membership Benefits:
24-hour telephonic trauma counselling
Following a traumatic event, you’ll get 24-hour confidential counselling and support in times of need.
Access to the Medical Information Helpline
24-hour access to trained medical professionals over the phone.
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Gap Cover Comprehensive
Your Insurance Benefits:
- Up to 600% of Medical Aid Rates Covered
- Up to R219 845 Gap cover per year
- Co-payment cover
- Up to R10 000 Casualty cover included
Your Membership Benefits:
- Access to the Medical Information Helpline
R369
per month
Incl. an insurance premium of R232.56
GAP Cover Premium Senior
Your Insurance Benefits:
- Cover up to 600% of medical aid rates
- Up to R219 845 Gap cover per year
- Up to R10 000 casualty cover included
- Co-payment cover
- Sub-limitation cover
- Cancer cover and extended cancer treatment cover
Your Membership Benefits:
- 24-hour telephonic trauma counselling
- Access to the Medical Information Helpline
R639
per month
Incl. an insurance premium of R463.03
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