Custom Gap Cover from Stratum

November 30, 2024

What is Stratum’s custom Gap Cover?

  • Stratum offers six different Gap Cover packages
  • Their insurance can be obtained online
  • Cover starts at a very affordable rate
  • Top-of-the-range cover is also available

 

So with Stratum, consumers can cut out the “middle-man” and save on broker fees by obtaining Gap Cover online.

What’s more, Stratum offers six different Gap Cover policies to suit individual lifestyle needs and financial constraints.

What Gap Cover Insurance does Stratum offer?

Stratum’sGap Cover From Stratum Gap Cover benefits are designed to meet medical cost shortfalls.

These shortfalls are created by the difference between what medical schemes will pay for various medical treatments and what consumers are finally billed by medical practitioners.

Stratum’s Gap Cover options

Hospital Optimiser – Gap Cover From Stratum

This policy is designed to soften the shortfall by medical schemes that impose annual payouts for hospitalisation.

Waiting Periods

  • There is a three month waiting period from the date of policy inception.
  • The maternity waiting period is 10 months.
  • There is a also six-month waiting period for pre-existing medical conditions.

Cost

  • The Hospital Optimiser Policy costs R95 a month.

 

Base Cover – Gap Cover From Stratum

This policy offers:

  • Tariff gaps between medical scheme payments and medical profession bills of up to 500 percent.
  • Casualty Cover.
  • Trauma Counselling.
  • Cancer diagnosis benefits.

Waiting Periods

  • There is a three month waiting period from the date of policy inception.
  • The maternity waiting period is 10 months.
  • There is also a six-month waiting period for pre-existing medical conditions.

Cost

  • The Stratum Base Policy costs R180 a month.

 

The Access Optimiser – Gap Cover From Stratum

  • This Gap Cover policy is recommended for Keycare and Necesse members.
  • Please note that it excludes neck and back surgeries.

 

Waiting Periods

  • There is a three month waiting period from the date of policy inception.
  • The maternity waiting period is 10 months.
  • There is also a six-month waiting period for pre-existing medical conditions.

 

Cost

  • The Access Optimiser has two cost options:
  • R180 a month or
  • R220 a month to include the 500 percent payment benefit in tariff gaps between medical aid payments and bills imposed by members of the medical profession.

 

Co-Evolution Cover – Gap Cover From Stratum

This package offers:

  • Gap Cover of 500 percent between medical scheme payments and bills imposed by the medical profession.
  • Co-Payments are included.
  • Casualty Cover.
  • Trauma Counselling.
  • Cancer Diagnosis.

 

Waiting Periods

  • There is a three month waiting period from the date of policy inception.
  • The maternity waiting period is 10 months.
  • There is also a six-month waiting period for pre-existing medical conditions.

Cost

  • The Co-Evolution Policy costs R225 a month.

 

G-Force Policy – Gap Cover From Stratum

This policy offers additional benefits at a slightly higher tariff.

  • Gap Cover of 500 percent between medical scheme payments and bills imposed by the medical profession.
  • Co-Payments are included.
  • Sub-Limit Cover.
  • Cancer co-payments.
  • Casualty Cover.
  • Trauma Counselling.
  • Premium Waiver benefit.
  • Accidental death benefit.

 

Waiting Periods

The Waiting Period regulations are somewhat relaxed with this option.

  • The general three month waiting period from the date of policy inception is waived.
  • The maternity waiting period is 10 months.
  • There is also a six-month waiting period for pre-existing medical conditions.

 

Cost

G-Force costs an affordable R240 a month.

Elite Gap Cover – Gap Cover From Stratum

As its name suggests, the Elite is Stratum’s top-of-the-range Gap Cover product.

It offers:

  • Gap Cover of 500 percent between medical scheme payments and bills imposed by the medical profession.
  • Co-Payments are included.
  • Cancer co-payments.
  • Sub-limit gap.
  • Casualty Cover.
  • Premium Waiver.
  • No DSP co-payment.
  • Accidental death benefit.

 

Waiting Periods

  • There is a three month waiting period from the date of policy inception.
  • The maternity waiting period is 10 months.
  • There is also a six-month waiting period for pre-existing medical conditions.

 

Cost

The Elite Policy costs R320 a month.

Terminology explained

  • Oncology Benefits kick in when reaching annual limits imposed by medical schemes.
  • Sub-Limits are also imposed by medical schemes for certain hospital procedures, including prosthetic surgeries.
  • Premium Waiver kicks in for a stipulated time-frame after the death, permanent disability or forced retrenchment of the main policyholder.

 

To get a FREE gap cover quote, complete the form on this page.

All info was correct at time of publishing