Executive Family Plus
About this plan
The Executive Family Plus offers a range of benefits including coverage for oncology, trauma counseling, emergency household assistance, co-payments, sub-limits, and more.
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
Executive Family Plus
Elixi Executive Family Plus (🇿🇦 2025)
Overall, Elixi Executive Family Plus Gap Cover is a trustworthy short-term insurance product designed to provide extra protection for those with medical aid. The Elixi Executive Family Plus Gap Cover Plan starts from R726 ZAR. Elixi has a trust score of 5.8.| 🔎 Provider | 🥇 Elixi Executive Family Plus |
| 🟥 Years in Operation | 6 years |
| 🟧 Underwriters | Unity Health |
| 🟨 Market Share in South Africa | <5% |
| 🟩 Gap Cover Waiting Period | 3 – 12 months |
| 🟦 Do Exclusions Apply | ✅ Yes |
| 🟪 Average Monthly Premium | R726 |
| 🟥 Oncology Benefit | ✅ Yes |
| 🟧 In-Hospital Benefit | ✅ Yes |
| 🟨 Out-of-Hospital Cover | ✅ Yes |
Elixi Executive Family Plus Gap Cover - 7 Key Point Quick Overview
- ✅ Elixi Executive Family Plus Overview
- ✅ Elixi Executive Family Plus Premiums
- ✅ Elixi Executive Family Plus Benefits and Cover Breakdown
- ✅ Elixi Executive Family Plus Exclusions and Waiting Periods
- ✅ Elixi Executive Family Plus vs Other Gap Cover Plans
- ✅ Our Verdict on Elixi Executive Family Plus
- ✅ Elixi Executive Family Plus Frequently Asked Questions
Elixi Executive Family Plus Overview
The Elixi Executive Family Plus is one of eight plans that starts from R726 per month. The Elixi Executive Family Plus plan has benefits for oncology, trauma counseling, emergency household assistance, co-payments, sub-limits, and more. Elixi offers 24/7 medical emergency assistance and has a trust rating of 5.8, according to the Trust Index. Elixi Gap Cover has eight plans to choose from
Elixi Executive Family Plus Premiums
| 🟥 Premium | 💴 Family |
| 🟧 Average Cost | R726 |
| 🟨 Senior Premiums | R964 |
Elixi Executive Family Plus Benefits and Cover Breakdown
Elixi Executive Family Plus Benefits Overview
| 🟥 Overall Annual Limit per insured | R210,580 |
| 🟧 Overall Cover | Cover ranges from 101% to 600%. Covers in-hospital and certain outpatient medical practitioner fees. The Medical Scheme Tariff covers only a percentage of the prosthesis, materials, and medication costs. Covers Specialists, general practitioners, and medical professionals who provide hospital services. |
| 🟨 Casualty Benefit | This benefit covers hospital casualty unit emergency care. R11,000 per insured per year. |
| 🟩 Sub-Limit Benefits | This covers costs greater than most cap levels for hospital procedures and treatments beyond the cap levels the medical scheme sets. |
| 🟦 Co-Payment Benefits | Co-payment can assist you in covering the cost if you have to make an upfront payment before receiving medical assistance (for an MRI scan, for example). |
| 🟪 Oncology Benefits | This benefit covers biological cancer drugs for specific oncological conditions and subgroups of cancer in a private hospital, subject to the medical scheme's sub-limits and co-payments. This benefit covers private cancer treatment up to R200,000 per cycle. |
| 🟥 Hospital Excess Cover | Covers amounts above the Medical Aid option and hospital limitation. Hospital Excess Cover requires an R200,000 excess. |
| 🟧 Premium Waiver | The benefit will cover the medical aid premiums at the time of the incident for six months within the stated restrictions if the primary member of the medical scheme suffers a total and permanent disability due to an accident. This benefit will start in the first month following the incident's date. |
Elixi Executive Family Plus Value-Added Services
| 🟥 Crisis Centre | An innovative crisis management center that is open 24 hours a day, seven days a week. Expert crisis assistance and emergency coordination are provided for all public services. |
| 🟧 Call a GP or Nurse | Medical professionals staff the 24-hour GP helpline. This vital service offers guidance and assistance. Members will be able to speak with a qualified GP or nurse about a variety of medical issues, including medical advice, second opinions, and more. |
| 🟨 C5 HIV Prevention Program | Suppose a policyholder is exposed to HIV due to trauma or assault. In that case, the member will have access to the following services: A 24-hour Telephonic HIV advice and counseling line Emergency evacuation to an HIV treatment facility (ER24 only) Medical consultation A three-day starter pack A 25-day antiretroviral HIV treatment regimen that includes sexually transmitted disease therapy and pathology tests |
| 🟩 Trauma Counselling | If a member engages in or witnesses a traumatic event, the member will have unlimited telephonic counseling, referral to a qualified counselor, and face-to-face counseling with a qualified counselor. Each event is limited to R3,000. |
| 🟦 Household Assistance | The Elixi Gap Members are covered for a callout and up to one hour of labor (for the initial fault only) for emergencies involving plumbing, electrical faults, appliance faults, damage to external windows, and locksmith emergencies. |
Elixi Executive Family Plus Exclusions and Waiting Periods
Elixi Executive Family Plus Exclusions
While Elixi does not explicitly list exclusions on its website, Elixi Executive Family Plus likely aligns with the cover provided by your medical insurance. Therefore, it is reasonable to assume that Elixi Executive Family Plus may not cover procedures or treatments excluded by your medical aid.Elixi Executive Family Plus Waiting Periods
For Elixi Executive Family Plus, a standard three-month waiting period applies to all benefits. Additionally, there is an extended 12-month waiting period specifically for pre-existing conditions, during which neither you nor your family will be eligible for cover.
Elixi Executive Family Plus vs Other Gap Cover Plans
| 🔎 Provider | 🥇 Elixi Executive Family Plus | 🥈 Ambledown Gap Supreme | 🥉 Turnberry Premier |
| 🟥 Years in Operation | 6 years | 19 years | 22 years |
| 🟧 Underwriters | Unity Health | Guardrisk Insurance Company Limited | Lombard Insurance Company |
| 🟨 Market Share in South Africa | <5% | 20% | <5% |
| 🟩 Gap Cover Waiting Period | 3 – 12 months | 3 – 12 months | 3 – 12 months |
| 🟦 Do Exclusions Apply | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟪 Average Monthly Premium | R726 | R748 | R673 |
| 🟥 Oncology Benefit | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟧 In-Hospital Benefit | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟨 Out-of-Hospital Cover | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟩 Maternity Benefit | None | None | None |
| 🟦 Scopes and Scans | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟪 Co-payment Cover | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟥 Emergency Room | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟧 Accidental Cover | None | ✅ Yes | ✅ Yes |
| 🟨 Trauma Counseling | ✅ Yes | None | ✅ Yes |
| 🟩 Premium Waiver | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟦 Non-DSP Co-Payment | None | ✅ Yes | ✅ Yes |
| 🟪 Prostheses | ✅ Yes | None | None |
| 🟥 Travel Cover Extender | None | None | ✅ Yes |
| 🟧 Accidental Death/ Permanent Disability | ✅ Yes | None | ✅ Yes |
