Advertisement Advertisement

Cura Administrators

Gap Ultimate Plus

About this plan

The Gap Ultimate Plus offers benefits such as trauma counseling, specialist consultations, coverage for oncology treatment and lump sums, consumable shortfalls, radiology and pathology services, and more.
Monthly premium
From
R818
per month

What's covered

Hospital cover
Savings account
Day-to-day
Chronic cover
Dental
Optical
Maternity
Mental health

Waiting periods

General
3 months
Pre-existing conditions
12 months

Gap Ultimate Plus

Cura-Administrators-Gap-Ultimate-Plus 2024

Cura Administrators Gap Ultimate Plus (πŸ‡ΏπŸ‡¦ 2025)

Overall, Cura Administrators Gap Ultimate Plus is a trustworthy short-term insurance product designed to provide extra protection for those who already have medical aid. The Cura Administrators Gap Ultimate Plus Plan starts from R750 ZAR. Cura Administrators has a trust score of 4.2.  
πŸ”Ž ProviderπŸ₯‡ Cura Administrators Gap Ultimate Plus
πŸŸ₯ Years in Operation26 years
🟧 UnderwritersGENRIC Insurance Company Limited
🟨 Market Share in South Africa<5%
🟩 Gap Cover Waiting Period3 – 12 months
🟦 Do Exclusions Applyβœ… Yes
πŸŸͺ Average Monthly PremiumR750
πŸŸ₯ Oncology Benefitβœ… Yes
🟧 In-Hospital Benefitβœ… Yes
🟨 Out-of-Hospital Coverβœ… Yes
    Cura Administrators Gap Ultimate Plus

Cura Administrators Gap Ultimate Plus - 7 Key Point Quick Overview

  1. βœ… Cura Administrators Gap Ultimate Plus Overview
  2. βœ… Cura Administrators Gap Ultimate Plus Premiums
  3. βœ… Cura Administrators Gap Ultimate Plus Benefits and Cover Breakdown
  4. βœ… Cura Administrators Gap Ultimate Plus Exclusions and Waiting Periods
  5. βœ… Cura Administrators Gap Ultimate Plus vs Other Gap Cover Plans
  6. βœ… Our Verdict on Cura Administrators Gap Ultimate Plus
  7. βœ… Cura Administrators Gap Ultimate Plus Frequently Asked Questions

Cura Administrators Gap Ultimate Plus Overview

The Cura Administrators Gap Ultimate Plus is one of seven plans that starts from R750 per month. Cura Administrators’ Gap Ultimate Plus has benefits for trauma counseling, specialist consultations, oncology treatment and lump sums, consumable shortfall, radiology and pathology, and more.     Cura Administrators Gap Cover has seven plans to choose from Cura Administrators Gap Ultimate Plus Overview

Cura Administrators Gap Ultimate Plus Premiums

πŸŸ₯ Gap Ultimate Plus🟩 R750 per month for individuals <64 years
🟧 Gap Ultimate Plus🟦 R905 per month for families <64 years
🟨 Gap Ultimate PlusπŸŸͺ R1,190 per month for individuals/families 65 years>
    Cura Administrators Gap Ultimate Plus Premiums

Cura Administrators Gap Ultimate Plus Benefits and Cover Breakdown

πŸŸ₯ Overall Annual Limit (OAL) per insuredLimited to R210 580 per insured person.
🟧 Gap CoverUp to 700% for in-hospital procedures.
🟨 Cover for Prescribed Minimum Benefits (PMBs)Cover for PMBs.
🟩 In-Hospital Co-payments/Deductibles (includes MRI and CT scans out-of-hospital)Subject to the OAL.
🟦 Use of Non-DSP Hospital (Penalty Co-Payment)Limited to R18,000 per family.
πŸŸͺ Sub-LimitationsLimited to R80,000 per family.
πŸŸ₯ Internal ProsthesesIncluded in the R80,000 sub-limit.
🟧 Sub-limitation of Intra-ocular LensesLimited to R9,000 per lens per year.
🟨 External ProsthesesLimited to R5,000 per family.
🟩 Combined Capped Amount for Radiology and PathologyLimited to R14,000 per family.
🟦 Oncology Treatment (after the medical scheme oncology limit has been reached)Limited to the OAL.
πŸŸͺ Specialist ConsultationsLimited to R600 per claim and up to a maximum of 4 claims per policy per year.
πŸŸ₯ Dental ProceduresLimited to R10,000 per family.
🟧 Shortfall on ConsumablesLimited to R7,000 per insured.
🟨 Casualty BenefitLimited to R15,000 per family.
🟩 Trauma CounsellingLimited to R10,000 per family.
🟦 Additional Care CoverLimited to R12,000 per family.
πŸŸͺ Cancer Lump Sum BenefitOnce-off payment of R30,000 per insured.
πŸŸ₯ Accidental Death BenefitLimited to R15,000 per insured.
🟧 Premature Birth Lump Sum BenefitLimited to R5,000 per policy.
🟨 International Medical Travel CoverLimited to R5 million per insured, up to 90 days per trip.
🟩 12-Month Medical Scheme Premium WaiverUnlimited per month.
🟦 Gap Premium WaiverCovered for up to 12 months.
    Cura Administrators Gap Cover Approach to Service

Cura Administrators Gap Ultimate Plus Exclusions and Waiting Periods

Β Gap Ultimate Plus Exclusions

  πŸ’™Cura Administrators does not cover the following:
  • βœ… Any procedure not covered by the Medical Scheme or denied by it is also excluded.
  • βœ… In the first year of coverage, pre-existing conditions are not covered.
  • βœ… Pregnancy and childbirth are not covered during the first nine months of coverage.
  • βœ… Fraudulent claim submissions will not be covered.
  and more. A full list of Exclusions will be provided.  

Gap Ultimate Plus Waiting Periods

  • βœ… Cura Administrators generally impose a three-month waiting period before policyholders can file claims.
  • βœ… There is a 12-month waiting period for pre-existing medical conditions before policyholders can file claims.
    Cura Administrators impose a nine-month waiting period on claims related to pregnancy.     Cura Administrators Gap Ultimate Plus Exclusions and Waiting Periods

Cura Administrators Gap Ultimate Plus vs Other Gap Cover Plans

πŸ”Ž ProviderπŸ₯‡ Cura Administrators Gap Ultimate PlusπŸ₯ˆ Elixi Family Co-PlusπŸ₯‰ Dis-Chem Gap Summit
πŸŸ₯ Years in Operation26 years6 years36 years
🟧 UnderwritersGENRIC Insurance Company LimitedUnity HealthOld Mutual Insure
🟨 Market Share in South Africa<5%<5%<1%
🟩 Gap Cover Waiting Period3 – 12 months3 – 12 months3 – 12 months
🟦 Do Exclusions Applyβœ… Yesβœ… Yesβœ… Yes
πŸŸͺ Average Monthly PremiumR750R654R33 - R418
πŸŸ₯ Oncology Benefitβœ… YesNoneβœ… Yes
🟧 In-Hospital Benefitβœ… Yesβœ… Yesβœ… Yes
🟨 Out-of-Hospital Coverβœ… Yesβœ… Yesβœ… Yes
🟩 Maternity Benefitβœ… YesNoneNone
🟦 Scopes and Scansβœ… Yesβœ… Yesβœ… Yes
πŸŸͺ Co-payment Coverβœ… Yesβœ… Yesβœ… Yes
πŸŸ₯ Emergency Roomβœ… Yesβœ… Yesβœ… Yes
🟧 Accidental Coverβœ… Yesβœ… Yesβœ… Yes
🟨 Trauma Counselingβœ… YesNoneβœ… Yes
🟩 Premium Waiverβœ… Yesβœ… Yesβœ… Yes
🟦 Non-DSP Co-Paymentβœ… YesNoneβœ… Yes
πŸŸͺ Prosthesesβœ… Yesβœ… Yesβœ… Yes
πŸŸ₯ Travel Cover Extenderβœ… YesNoneβœ… Yes
🟧 Accidental Death/ Permanent Disabilityβœ… Yesβœ… Yesβœ… Yes
    Ultimate Cover Cura Admin

Our Verdict on Cura Administrators Gap Ultimate Plus

Our final thoughts on Cura Administrators Gap Ultimate Plus are that it is a comprehensive plan offering extensive cover for medical shortfalls. Compared to other gap cover plans, it provides the most benefits and covers a wide range of medical expenses. This comprehensive range of benefits ensures policyholders are well-protected against various medical costs.    

Frequently Asked Questions

What is Cura Administrators Gap Ultimate Plus?

Cura Administrators Gap Ultimate Plus is a comprehensive gap cover plan that provides additional financial protection by covering the shortfall between medical scheme rates and the actual costs of medical treatments or procedures.  

How long has Cura Administrators Gap Ultimate Plus been in operation?

Gap Ultimate Plus has operated for 26 years, providing a long-standing track record of experience in the gap cover industry.  

Who underwrites Cura Administrators Gap Ultimate Plus?

GENRIC Insurance Company Limited, a reputable underwriter in the insurance industry, underwrites Gap Ultimate Plus.  

What is the average monthly premium for Gap Ultimate Plus?

The average monthly premium for Gap Ultimate Plus is R750 for individuals under 64 years of age and R905 for families under 64. For individuals/families aged 65 and above, the premium is R1,190 per month.  

What is the overall annual limit per insured person under Gap Ultimate Plus?

The overall annual limit per insured person under Gap Ultimate Plus is limited to R210 580.  

How much gap cover does Gap Ultimate Plus provide for in-hospital procedures?

Gap Ultimate Plus provides gap cover of up to 600% for in-hospital procedures, helping to bridge the gap between medical scheme rates and actual costs.
Get a FREE Gap Cover Quote

You Might Also Like

7 Actionable Ways to save 32% on your MEDICAL AID in 14 days.