Gap cover is not designed to assist with day-to-day cover; however it assists with major in-hospital medical expenses.
Some of our clients have experienced an unexpected shortfall for an in-hospital expense because the treating doctors and specialists have charged more than the medical aid’s set tariff which can vary depending on your plan type. To help bridge this gap, Maximus Health Care Solutions recommends Stratum benefits, as the range of products they offer comprehensively cover potential shortfalls.
What are the advantages of gap cover through Stratum?
- Stratum products are compatible with all registered South African medical schemes;
- Stratum gap cover products enhance medical scheme benefits;
- An additional gap benefit of 500% above the medical scheme rate is provided;
- Certain options provide additional cover for co-payments, including out-patient MRI- and CT scans, enhanced benefits;
- Certain in-hospital sub-limits and additional oncology benefits;
- A choice of 6 different options which cater for an individual or family’s needs;
- An exclusive option for government employees belonging to Government Employees Medical Scheme (GEMS) and a unique option for corporate employer groups.
At Maximus, our specialist in health care benefits is Renee Lee. Please contact her on 082 853 4051 or 011 782 1460.