GAP COVER
Covers the difference between your Medical Scheme Rate paid and private rates charged by a Registered Medical Professional for in-hospital treatment. COPAY, ADDMISSION & PENALTY FEE COVER
Covers a fixed amount of Co-payments (Oncology benefits catered for in a separate category) and Admission Fees imposed in terms of your Medical Scheme rules. OUTPATIENT & EMERGENCY ROOM COVER
This benef
it will cover your Gap Cover component (as defined above) for any Outpatient Surgical Procedure that would normally be performed on an Inpatient basis. PRESCRIBED MINIMUM BENEFIT COVER
Covers your Gap, CoPay and Admission Fee components for the use of a Non- designated Service Provider for Prescribed Minimum Benefit treatment. CANCER COVER
This benefit will pay you a lump sum of R5,000.00 (five thousand rand) upon the initial diagnosis of Cancer. SPECIALIST OUTPATIENT CONSULTATION FEE
Covers your Gap Cover component above scheme tariff for out-patient consultation fee with a Medical Specialist. HOSPITAL ACCOUNT SHORTFALLS
This benefit will cover your Hospitalisation Account Shortfall incurred when your Medical Scheme short-pays your hospital facility account. ADDITIONAL CARE COVER
This benefit will cover your Gap Cover component for any of the listed procedures/diagnoses or treatment outlined in paragraph 28 of the policy document. SUBLIMIT ENHANCER
Provides you with further cover when you become liable to settle a portion of your internal prosthesis or MRI & CT Scan. HEALTH PREMIUM WAIVER
Covers a Waiver of the Policy Premium for a maximum period of six months in the event of Death or Disability, up to R2,000 per month. ACCIDENTAL DEATH BENEFIT
This benefit provides for the payment of a Lump Sum in the event of the Accidental Death of the Principal Insured (R5,000), Adult Dependant (R5,000) and/or Child Dependant (R3,000). MEDWYZE
Legal assistance designed to compel your medical scheme to pay the prescribed minimum benefits (PMBs) which they are bound by law to pay. This could effectively remove the need to claim against your Gap Cover. ACCIDENT EXPERT BY ROADCOVER
Provides free access to an effective Road Accident Fund (RAF) and Compensation of Occupational Injuries & Diseases (COID) claims management system. MEDIFIN MEDICAL FINANCE
Provides access to Financing for various Elective Medical Procedures, such as Cosmetic Surgery/Dentistry etc. MEDICAL SECOND OPINION
Not satisfied with your doctor’s diagnosis? Medical Second Opinion provides online access to brilliant medical minds for that all-important second opinion to set your mind at ease, or to give alternate options for treatment. HEALTHWISE DENTISTRY BENEFIT
Healthwise provides a health voucher of up to R2,000.00 per tooth towards services by a dentist in relation to:
- A broken or chipped tooth;
- Accidental knocked out tooth;
- Crown due to a broken tooth. ACCESS TO 4ME LIFESTYLE MALL
Complimentary access to the 4me Lifestyle Mall’s hundreds of merchants and vendors with discounted lifestyle products and services managed by Randgo.
