Stratum

NB. All gap cover policies currently have an annual limit of R150 000 per insured member per year. Please familiarize yourself with the relevant waiting periods and exclusions.Gap products are not medical aid schemes and cover is not a substitute for medical aid.

FSP – 2111

INSURED BY CONSTANTIA INSURANCE COMPANY LIMITED (FSP 31111) AND UNDERWRITTEN BY AMBLEDOWN FINANCIAL SERVICES (PTY) LTD (FSP 10287)

The Stratum Gap cover benefits are comprehensive and well designed. You can choose which product would best suit your needs buy covering the shortfalls on your specific medical aid and option. Stratum Benefits cover the following GAPS/SHORTFALLS.

Benefit features:

1. 500% TARIFF GAP: This is the basic shortfall you get when going to hospital. It is the difference between what the doctors and anaesthetists charge for their operations IN hospital and what your medical aid would pay. This is known as the BASE 500 with Stratum. Adds on 500% of the tariff.

2.CO-PAYMENTS: This cover is for your co pays the medical aid requests you to pay before the procedure will be done, such as, a scope for example. You pay the first R 2200 or R 3000 and then they pay the rest. The same applies for scans, hospital admissions and a few others. Each medical aid, and options within those medical aids, have their own CO-PAYMENTS. Stratums CO-EVOLUTION has both the tariff and co-payments.

3. Oncology Benefit: As with most medical aids today, there is now a sub limit for the treatment of cancer. once you have reached this limit then you will have a co-payment of about 20% depending on the medical aid you are on. This can work out to be very expensive. The ELITE benefit has this and all three of the above mentioned benefits .

4. SUB-LIMIT: On most medical aids they impose sub limits on certain in hospital procedures as well as internal prosthesis. For example Liberty impose a limit on dentistry in hospital as a sub limit. Should that be used up then the SUB-LIMIT benefit will be triggered. Most medical aids will impose sub limits. This benefit along with all the above benefits, is included in the ELITE OPTION with Stratum.

 

Stratum have introduced low cost options for 2018, including the Compact and Edge 200.There are a host of health insurance options available as well. Note these products are not medical aid replacement plans but designed for accidental/emergency situations with optional day to day benefits available as well.

 

All the above options have the Accidental Casualty benefit included with differing limits. This is for casualty rooms where most medical aid schemes would expect you to pay out of your savings, ultimately your own pocket. This is a great benefit to have since those sort of accidents can occur at any time and very often find us out of pocket.

There is also accidental death cover, trauma counselling and various other add on features with the Stratum benefit options. Refer to the brochure for the amount of cover.

 

Due to the vast nature of offerings Stratum have, it’s best to get in touch with us and check for suitability. Please visit our home page for a call back option.

 

Packages

 

PackagesDescriptionAdditional CoverUnderwritingPrice
EliteAdditional 500% tariff gap. Co payments. Sub limits. Oncology.Accidental casualty.Trauma counselling. Rehabilitation Optimiser. Preventative care.Premium wavers, accidental death.3 month general except accidental.12 month pre existing conditions. 20% payout on a list of procedures within 10 months which includes cardiac, spinal, scopes , scans, etc.Individual: R295pm.
Family: R355pm.
Senior (65+) @ R575pm limited to 2 insured members.
Co EvoAdditional 500% tariff gap.Co payments.Accidental casualty.Trauma counselling. Accidental death.etc.3 month general except accidental.12 month pre existing conditions. 20% payout on a list of procedures within 10 months which includes cardiac, spinal, scopes , scans, etc.Individual: R200pm.
Family: R250pm.
Senior (65+) @ R400pm limited to 2 insured members.
BaseAdditional 500% tariff gap.Accidental casualty.Trauma counselling. Accidental death.etc.3 month general except accidental.12 month pre existing conditions. 20% payout on a list of procedures within 10 months which includes cardiac, spinal, scopes , scans, etc.Individual: R180pm.
Family: R205pm.
Senior (65+) @ R350pm limited to 2 insured members.
Compact 200Additional 200% tariff gap.Co payments. Sub limits. Oncology.Accidental casualty.Trauma counselling. Accidental death.3 month general except accidental.12 month pre existing conditions. 20% payout on a list of procedures within 10 months which includes cardiac, spinal, scopes , scans, etc.Individual: R180pm.
Family: R210pm.
Senior (65+) @ R350pm limited to 2 insured members.
Edge 200Additional 200% tariff gap.Accidental casualty and gap premium waver.3 month general except accidental.12 month pre existing conditions. 20% payout on a list of procedures within 10 months which includes cardiac, spinal, scopes , scans, etc.Individual only:
18 - 27 yrs @ R100pm.
28 - 64 yrs @ R180pm.
65 yrs + @ R300pm.
Access OptimiserCover for an excluded list of procedures such as back/neck surgery, arthroscopic surgery, joint replacements, cochlear implants, etc.You can add tariff gap to this policy.3 month general except accidental.12 month pre existing conditions. 20% payout on a list of procedures within 10 months which includes cardiac, spinal, scopes , scans, etc.Family/Individual:
up to 64 yrs @ R235 pm. Add gap for R65 pm.
65 yrs + @ R285pm.Add gap for R115 pm.

 

Downloads

Stratum_Brochure_2018

Stratum app_2018