The Best Medical Aids
The Best Hospital Plans
Overall, Admed Supreme Millennial Gap Cover is a trustworthy short-term insurance product designed to provide extra protection for those who already have medical aid. Admed Supreme Millennial Gap Cover starts from R261 ZAR. Admed has a trust score of 4.1.
π Provider | π₯ Admed Supreme Millennial Gap |
π₯ Years in Operation | N/A |
π§ Underwriters | Guardrisk Insurance Company Limited |
π¨ Market Share in South Africa | <1% |
π© Gap Cover Waiting Period | 3 β 12 months |
π¦ Do Exclusions Apply | β Yes |
πͺ Average Monthly Premium | R261 |
π₯ Oncology Benefit | β Yes |
π§ In-Hospital Benefit | β Yes |
π¨ Out-of-Hospital Cover | β Yes |
The Admed Supreme Millennial Gap is one of four plans that starts from R261 per month. The Admed Supreme Millennial Gap plan has benefits for counselors, physiotherapists, PET scans, ophthalmology, accidents, trauma and grief, and more.
Admed offers 24/7 medical emergency assistance. However, because insufficient reviews exist, there is no trust rating for Admed according to the Trust Index.
Admed Gap Cover has six options to choose from:
π Supreme Millennial Gap | From R261 |
π° Medical Expense Shortfall Benefit In-hospital | Admed covers the difference between what a specialist charges and what the insured memberβs medical scheme pays up to 300%. Only PMBs are covered under this benefit. |
πͺ Medical Expense Shortfall Out-of-Hospital | Admed covers specific medical procedures performed in day clinics or doctorsβ rooms for up to 300% of the amount paid by the medical aid. PMBs are covered under this benefit. |
π΄ Medical Expense Shortfalls for Allied Professional | Admed covers the shortfall between what allied professionals charge and what the medical aid pays for in-hospital care after an in-hospital procedure. Covers up to 300%. Limited to R2,500 per policy yearly. |
π΅ Co-Payment Benefit | Admed covers co-payments on radiology scans and specialist procedures according to the medical aid option. |
πΆ Non-DSP Co-Payment Benefit | When insured persons use a non-network hospital and face an additional co-payment, Admed covers this up to R5,500 per policy annually. |
π· Oncology Co-payment benefit | Depending on the medical aid, when the oncology treatment benefit limit has been reached, Admed covers the first 20% of the co-payment of every treatment paid by the insured person. |
π³ Oncology Extender Benefit | When the oncology benefit limit has been reached, and the insured person has no further benefits available, Admed will cover 20% of the cost of every treatment paid. |
π° Internal Prostheses Shortfall | Limited to R30,000 per family yearly. Stents and pacemakers are limited to R8,000 per claim, subject to an R35,000 annual limit. |
πͺ Sub-limit benefit | Limited to R12,000 per policy annually for MRI and CT scans. |
π΄ Casualty Benefit | Limited to R22,000 for casualty visits. Limited to 5 casualty visits per family yearly. Three of the five can be for an emergency. Children <6 are covered up to R3,500 per policy yearly. Subject to the R22,000 overall annual limit. |
π΅ Robotic Procedure Shortfall Benefit | Covers up to 300% of the amount covered by the medical aid. |
πΆ Robotic Procedure Co-Payment Benefit | Limited to R12,000 per policy annually. |
ποΈ Cancer Assist | Members diagnosed with stage II local or malignant cancers receive R5,000. Those diagnosed with stage II regional or malignant cancer receive R20,000. There is an additional R15,000 for eligible members. |
π©Έ Breast Reconstruction Benefit for the non-affected breast | Insured members diagnosed with breast cancer and who require breast reconstruction for the non-affected breast because of a mastectomy are eligible for R15,000 per policy per year. |
π©Ί Accident Assist Benefit | Limited to R55,000 if an insured member dies or becomes permanently disabled because of an accident while covered by Admed. |
𧬠Violent Crime Benefit | If accidental death or disability is because of a violent crime, Admed will double the Accident Assist Benefit. |
π©Ή Premium Waiver Benefit | If the policyholder becomes disabled or dies because of an accident, Admed will cover up to R36,000 upfront for the dependentsβ medical aid contributions and gap cover premiums. |
π©ββοΈ Trauma and Bereavement Counselling | If an insured member is a witness to, or a victim of, a traumatic accident, or an immediate family member dies, they are eligible to R800 towards counseling sessions up to a maximum of R30,000 per family per year. |
πΌ Baby Bump Benefit | Admed covers up to R2,000 for pregnancy diagnosis and any unexpected pregnancy costs. |
π Category | π₯ Procedures Covered by Admed |
π Cardiovascular | Coronary Angioplasty Angiogram |
π©Έ Dermatologic | Skin Grafts |
π©Ί Ear, Nose, Throat | Adenoidectomy Direct Laryngoscopy Grommets Myringotomy Sinus Surgery Tonsillectomy |
𧬠Gastrointestinal | Closure of colostomy Colonoscopy Endoscopy Gastroscopy Laparoscopy Esophagoscope Hemorrhoidectomy |
π©Ή General Surgery | Hernia Repairs Biopsies |
π©ββοΈ Gynecology | Cervical Laser Ablation Dilatation and Curettage Hysteroscopy Tubal Litigation |
π¨ββοΈ Obstetrics | Childbirth in a non-hospital setting |
β οΈ Oncology | Chemotherapy Radiotherapy |
βοΈOphthalmology | Cataract Removal Pterygium Removal Trabeculectomy |
π§ͺ Orthopaedic | Arthroscopy Bunionectomy Carpal Tunnel Release Ganglion Surgery |
π Radiology | CAT scan MRI scan PET scan Nuclear Radiology Varicose Vein Removal |
π Renal | Kidney dialysis |
π Respiratory | Bronchoscopy |
βͺοΈ Urology | Circumcision (due to medical necessity) Cystoscopy Orchidopexy Prostate Biopsy Vasectomy |
Admed covers the following Allied Professionals:
and many more. A full list will be provided by Admed.
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Some of Admedβs Exclusions include, but are not limited to, the following:
Investigative procedures, and more.
Admed applies the following waiting periods:
Medical events related to cancer, birth, or pregnancy will have a waiting period of twelve months.
Read more about the 5 Best Hospital Plans for New Borns
π Provider | π₯ Admed Supreme Millennial Gap | π₯ Auto & General Absolute Gap Cover | π₯ Kaelo Gap |
π₯ Years in Operation | N/A | 38 years | 19 years |
π§ Underwriters | Guardrisk Insurance Company Limited | 1Life Insurance Limited | Centriq Insurance Company Limited |
π¨ Market Share in South Africa | <1% | <5% | <1% |
π© Gap Cover Waiting Period | 3 β 12 months | 10 months | 12 months |
π¦ Do Exclusions Apply | β Yes | β Yes | β Yes |
πͺ Average Monthly Premium | R261 | R450 | R364 |
π₯ Oncology Benefit | β Yes | β Yes | β Yes |
π§ In-Hospital Benefit | β Yes | β Yes | β Yes |
π¨ Out-of-Hospital Cover | β Yes | β Yes | β Yes |
π© Maternity Benefit | β Yes | None | None |
π¦ Scopes and Scans | β Yes | β Yes | None |
πͺ Co-payment Cover | β Yes | β Yes | β Yes |
π₯ Emergency Room | β Yes | β Yes | β Yes |
π§ Accidental Cover | β Yes | β Yes | β Yes |
π¨ Trauma Counseling | β Yes | None | None |
π© Premium Waiver | β Yes | β Yes | β Yes |
π¦ Non-DSP Co-Payment | β Yes | β Yes | β Yes |
πͺ Prostheses | β Yes | β Yes | None |
π₯ Travel Cover Extender | None | None | None |
π§ Accidental Death/ Permanent Disability | β Yes | None | β Yes |
According to our findings, the Supreme Millennial Gap, millennials can access various help services and comprehensive cover for medical expenses and shortfalls. For example, it covers oncology care, co-payments, a wide range of outpatient procedures, and hospitalization.
We also found that the planβs premium waivers and trauma counseling are examples of extras designed with millennials in mind. However, prospective policyholders must remember that the plan might not have a trust rating and might have a tiny slice of the market.
This might make them wonder how well-liked it is compared to similar services.
Β
Yes, Supreme Millennial Gap provides cover for non-network hospitals, with a non-DSP co-payment benefit of up to R5,500 per policy annually.
The underwriters for Supreme Millennial Gap are Guardrisk Insurance Company Limited, a reputable company.
No, Supreme Millennial Gap does not provide a specific travel cover extension as part of its benefits.
Supreme Millennial Gap offers cover for prostheses, including internal prostheses, up to specified limits per year.
Yes, Supreme Millennial Gap includes cover for emergency room visits as part of its in-hospital benefit package.
We work with leading medical aid companies in South Africa.
π Report a bug or outdated data to be updated to [email protected]
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