The Best Medical Aids
The Best Hospital Plans
Overall, Elixi Single Gap Cover is a trustworthy short-term insurance product designed to provide extra protection for those with medical aid. The Elixi Single Gap Cover Plans start from R242 ZAR. Elixi has a trust score of 5.8.
π Provider | π₯ Elixi Single |
π₯ Years in Operation | 6 years |
π§ Underwriters | Unity Health |
π¨ Market Share in South Africa | <5% |
π© Gap Cover Waiting Period | 3 β 12 months |
π¦ Do Exclusions Apply | β Yes |
πͺ Average Monthly Premium | R242 |
π₯ Oncology Benefit | None |
π§ In-Hospital Benefit | β Yes |
π¨ Out-of-Hospital Cover | β Yes |
The Elixi Single is one of eight plans that starts from R242 per month. The Elixi Single plan has benefits for in-hospital procedures and treatments, certain out-patient practitioner fees, a certain portion of prosthetics and medicine, and casualties.
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 Single |
π§ Average Cost | R242 |
π¨ Senior Premiums | R308 |
π₯ Overall Annual Limit per insured | R185,837 |
π§ 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. |
π¨ 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 many more. |
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 Single likely aligns with the cover provided by your medical insurance. Therefore, it is reasonable to assume that Elixi Single may not cover procedures or treatments excluded by your medical aid.
For Elixi Single, 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.
READ more about How to evaluate Medical Aid Credits
π Provider | π₯ Elixi Single | π₯ NetcarePlus GapCare | π₯ Sirago Gap Lite |
π₯ Years in Operation | 6 years | 27 years | 30 years |
π§ Underwriters | Unity Health | The Hollard Insurance Company Limited | GENRIC Insurance Company Limited (FSP: 43638) |
π¨ Market Share in South Africa | <5% | <5% | >10% |
π© Gap Cover Waiting Period | 3 β 12 months | 3 β 12 months | From 3 months (up to 12) |
π¦ Do Exclusions Apply | β Yes | β Yes | β Yes |
πͺ Average Monthly Premium | R242 | R285 | R249 |
π₯ Oncology Benefit | None | β Yes | None |
π§ In-Hospital Benefit | β Yes | β Yes | β Yes |
π¨ Out-of-Hospital Cover | β Yes | β Yes | β Yes |
π© Maternity Benefit | None | β Yes | β Yes |
π¦ Scopes and Scans | None | β Yes | None |
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 | β Yes | None |
π© Premium Waiver | None | β Yes | None |
π¦ Non-DSP Co-Payment | None | β Yes | β Yes |
πͺ Prostheses | β Yes | None | None |
π₯ Travel Cover Extender | None | None | None |
π§ Accidental Death/ Permanent Disability | β Yes | None | None |
According to our research, Elixi Single is a popular gap cover plan that covers various medical expenses not fully covered by your medical aid. With its affordable premiums starting from R242 per month, the plan offers in-hospital coverage, out-of-hospital coverage, and emergency room treatment.
However, our findings highlight several limitations of the Single plan. Furthermore, Elixi Single does not cover oncology treatments, maternity benefits, scopes and scans, co-payment cover, accidental cover, premium waiver, and several others.
While exclusions are not explicitly listed on the website, Elixi Single likely aligns with the cover provided by your medical insurance.
The average cost of Elixi Single is R242 per month for single individuals and R308 per month for seniors.
No, Elixi Single does not provide cover for oncology treatments.
No, Elixi Single does not offer cover for maternity benefits.
Yes, Elixi Single provides cover for certain out-of-hospital medical expenses.
Yes, there is a standard three-month waiting period for all benefits and an extended 12-month waiting period for pre-existing conditions.
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