The Best Medical Aids
The Best Hospital Plans
Overall, the Elixi Family Double Gap Cover is a trustworthy short-term insurance product designed to provide extra protection for those with medical aid. The Elixi Family Double Gap Cover Plan starts from R243 ZAR. Elixi has a trust score of 5.8.
The Elixi Family Double is one of eight plans that starts from R243 per month. The Elixi Family Double plan has benefits for materials, prosthetics, medication, specialists, GPs, casualties, and more.
Elixi offers 24/7 medical emergency assistance and has a trust rating of 5.8, according to the Trust Index.
Elixi Gap CoverΒ has eight plans to choose from
π °οΈ Plan | π ±οΈ Family Double |
π§ Average Cost | R243 |
π¨ Senior Premiums | R312 |
π© Overall Annual Limit per insured | R185,837 |
π¦ Overall Cover | Cover ranges from 101% to 200%. 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. |
πͺ Casualty Benefit | This benefit covers hospital casualty unit emergency care. R10,000 per insured per year. |
π₯ 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. |
π§ 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, confirmation and clarification of medical diagnoses, drug regimen guidance, referral to a specialist GP, guidance, and advice on the side effects of prescribed treatment, and telephonic follow-up after diagnosis and treatment. |
π¨ 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 |
π© 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. |
π¦ 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. |
While Elixi does not explicitly list exclusions on its website, Elixi Family Double likely aligns with the cover provided by your medical insurance. Therefore, it is reasonable to assume that Elixi Family Double may not cover procedures or treatments excluded by your medical aid.
For Elixi Family Double, 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.
π Provider | π₯ Elixi Family Double | π₯ Turnberry Med-Extend | π₯ Dis-Chem Gap Summit |
π₯ Years in Operation | 6 years | 22 years | 36 years |
π§ Underwriters | Unity Health | Lombard Insurance Company | Old Mutual Insure |
π¨ Market Share in South Africa | <5% | <5% | <1% |
π© Gap Cover Waiting Period | 3 β 12 months | 3 β 12 months | 3 β 12 months |
π¦ Do Exclusions Apply | β Yes | β Yes | β Yes |
πͺ Average Monthly Premium | R243 | R366 | R180 |
π₯ Oncology Benefit | None | None | β Yes |
π§ In-Hospital Benefit | β Yes | β Yes | β Yes |
π¨ Out-of-Hospital Cover | β Yes | None | β Yes |
π© Maternity Benefit | None | None | None |
π¦ Scopes and Scans | None | β Yes | β Yes |
πͺ Co-payment Cover | None | β Yes | β Yes |
π₯ Emergency Room | β Yes | β Yes | β Yes |
π§ Accidental Cover | None | β Yes | β Yes |
π¨ Trauma Counseling | β Yes | None | β Yes |
π© Premium Waiver | None | None | β Yes |
π¦ Non-DSP Co-Payment | None | None | β Yes |
πͺ Prostheses | β Yes | None | β Yes |
π₯ Travel Cover Extender | None | β Yes | β Yes |
π§ Accidental Death/ Permanent Disability | None | None | β Yes |
Based on our research, Elixi Family Double, a gap cover plan offered by Elixi in South Africa, provides various benefits for materials, medications, specialists, general practitioners, and accidents.Β According to our findings, with an annual maximum of R185,837 and cover ranging from 101% to 200%, it aims to provide supplementary financial protection for medical expenses.
The plan covers in-hospital and certain outpatient medical practitioner fees and an R10,000 per-insured-per-year casualty benefit. However, there are significant restrictions.
No, Elixi Family Double does not cover accidental death or permanent disability. Individuals seeking such coverage should explore other options or consider additional insurance products to meet their needs.
The average monthly cost of Elixi Family Double is R243. However, senior premiums are slightly higher at R312 per month.
Elixi Family Double covers materials, prosthetics, medication, specialists, general practitioners (GPs), casualties, and more.Β In addition, it provides additional financial protection for in-hospital and certain outpatient medical practitioner fees.
Elixi Family Double has a 12-month waiting period specifically for pre-existing conditions. During this period, neither you nor your family will be eligible for coverage related to pre-existing conditions.
While Elixi does not explicitly list exclusions on its website, the cover provided by Elixi Family Double likely aligns with your medical insurance.Β Therefore, assuming that procedures or treatments excluded by your medical aid might not be covered is reasonable.
We work with leading medical aid companies in South Africa.
π Report a bug or outdated data to be updated to [email protected]
Β© Medicalaid.com | All rights Reserved |
Copyright 2024
Top 5 Medical Aids
Top 5 Gap Cover Plans