Does Stratum Benefits Compact 300 cover penalty co-payments?

Yes, Stratum Benefits Compact 300 covers claims for penalty co-payments imposed by non-DSP providers up to a limit of R6,500 per policy annually.

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Stratum Benefits Compact 300 (🇿🇦 2025*)

💙 Overall, Stratum Benefits Compact 300 is a trustworthy short-term insurance product designed to provide extra protection for those with medical aid. The Stratum Benefits Compact 300 Plan starts from R330 ZAR. Stratum Benefits has a trust score of 4.5.

🔎 Provider	🥇 Stratum Benefits Compact 300
🟥 Years in Operation	24 years
🟧 Underwriters	Guardrisk Insurance Company Limited (FSP 75)
🟨 Market Share in South Africa	>5%
🟩 Gap Cover Waiting Period	3 Months
🟦 Do Exclusions Apply	✅ Yes
🟪 Average Monthly Premium	R330
🟥 Oncology Benefit	✅ Yes
🟧 In-Hospital Benefit	✅ Yes
🟨 Out-of-Hospital Cover	✅ Yes

Stratum Benefits Compact 300 – 7 Key Point Quick Overview

Stratum Benefits Compact 300 Overview

The Stratum Benefits Compact 300 is one of eleven plans that starts from R330 per month. Stratum Benefits’ Base has benefits for penalty co-payments, radiology cover, internal prostheses, cancer treatment shortfalls, casualties, trauma counseling, and more.

👉🏿 Stratum Benefits Gap Cover has 5 plans to choose from:

✅️ Stratum Benefits Elite 500

✅️ Stratum Benefits Compact 300

✅️ Stratum Benefits Access Optimiser

✅️ Stratum Benefits Access Co pay Plus 300

✅️Stratum Benefits Meridian 400

Stratum Benefits Compact 300 Premiums

🟥 Membership Type	🟦 Monthly Contribution
🟧 Individuals <64 years	🟪 R330
🟨 If the entire family is <64 years	🟥 R399
🟩 If you or a dependent is >65 years	🟨 R629

Stratum Benefits Compact 300 Benefits and Cover Breakdown

🟥 Gap Benefit	Covers in and out-of-hospital expenses up to 300% of the medical aid tariff, with an overall limit of R210 580 per insured person annually.
🟧 Co-Payment Benefit	Claim as many co-payments as needed when admitted to a day clinic or hospital or before undergoing a medical procedure, such as an in- or out-of-hospital scope or scan. Limited to R 20 000 per policy per year. When using day clinics or hospitals outside your medical aid’s preferred network for planned medical procedures. Limited to R 10 000 per policy per year
🟨 Dental Cover	• Dental procedures, such as dental implants and wisdom teeth extractions: Limited to R 30 000 per policy per year. Dental procedures due to accidental events or cancer treatment: Subject to the OPL of R 210 580 per insured person per year
🟩 Maternity Cover	Covers shortfalls when healthcare professionals charge more than the medical aid rate for delivering a baby. Also covers specific amounts paid by the medical aid from the hospital benefit.
🟦 Sub-Limit Benefit	Covers internal prosthetic devices up to R30,000 per insured person per event after the medical aid’s portion is paid.
🟪 Radiology Cover	Includes Gap Cover for shortfalls, Co-Payment Benefits for admission and procedure co-payments, and Sub-limit Benefits for MRI, CT, and PET scans. Limited to R 3 500 per insured person per event.
🟥 Cancer Benefit	Covers cancer treatment shortfalls up to R210 580, with options for top-ups up to R60,000 per insured person annually.
🟧 Casualty Benefit – Accidents and Illness	Reimburses shortfalls or total costs for accidental and illness-related events treated outside the hospital if paid from the medical savings account or out-of-pocket. Limited to R 6 000 per policy per year.
🟨 Trauma Counselling	Provides cover up to R5,000 per policy per year.
🟩 Accidental Death and Disability	Covers the policyholder, spouse, and dependents, with limits ranging from R5,000 to R15,000 per insured person.
🟦 First-Time Cancer Diagnosis	Covers up to R15,000 per insured person in their lifetime.
🟪 Lifestyle Benefits	Offers access to e-learning options through Boston Online Home Education for high school students in grades 8 to 12.

Stratum Benefits Compact 300 Exclusions and Waiting Periods

Compact 300 Exclusions

💙 Suppose you claim within the first 10 months of cover for certain medical events/procedures (such as adenoidectomy, cardiovascular procedures, cataract removal, dentistry, etc.). In that case, Stratum Benefits will only cover 20% of the claim amount.

Compact 300 Waiting Periods

💙 Waiting periods apply from the policy start date, policy option upgrades, and for new members added after the initial policy start date. There is a three-month general waiting period for all claims except accidental events.

💙 Additionally, there is a 12-month waiting period for pre-existing conditions, including investigations, procedures, surgeries, and treatments related to illnesses or medical conditions diagnosed within 12 months of starting the policy with Stratum Benefits.

👉🏿 Read more about the 5 Top Medical Aids for women expecting to give birth

Stratum Benefits Compact 300 vs Other Gap Cover Plans

🔎 Provider	🥇 Stratum Benefits Compact 300	🥈 Sirago Gap Lite	🥉 Ambledown Gap Cover 200
🟥 Years in Operation	24 years	30 years	19 years
🟧 Underwriters	Guardrisk Insurance Company Limited (FSP 75)	GENRIC Insurance Company Limited (FSP: 43638)	Guardrisk Insurance Company Limited
🟨 Market Share in South Africa	>5%	>10%	20%
🟩 Gap Cover Waiting Period	3 Months	From 3 months (up to 12)	3 – 12 months
🟦 Do Exclusions Apply	✅ Yes	✅ Yes	✅ Yes
🟪 Average Monthly Premium	R330	R289	R318
🟥 Oncology Benefit	✅ Yes	None	✅ Yes
🟧 In-Hospital Benefit	✅ Yes	✅ Yes	✅ Yes
🟨 Out-of-Hospital Cover	✅ Yes	✅ Yes	✅ Yes
🟩 Maternity Benefit	✅ Yes	✅ Yes	None
🟦 Scopes and Scans	✅ Yes	None	None
🟪 Co-payment Cover	✅ Yes	✅ Yes	None
🟥 Emergency Room	✅ Yes	✅ Yes	✅ Yes
🟧 Accidental Cover	✅ Yes	✅ Yes	✅ Yes
🟨 Trauma Counseling	✅ Yes	None	None
🟩 Premium Waiver	None	None	None
🟦 Non-DSP Co-Payment	None	✅ Yes	None
🟪 Prostheses	✅ Yes	None	None
🟥 Travel Cover Extender	✅ Yes	None	None
🟧 Accidental Death/ Permanent Disability	✅ Yes	None	None

Our Verdict on Stratum Benefits Compact 300

💙 Stratum Benefits Compact 300 is a comprehensive gap cover plan offered by Stratum Benefits, covering various medical expense gaps. The plan addresses common healthcare costs with in- and out-of-hospital cover of up to 300% of the medical aid tariff and multiple benefits such as penalty co-payments, dental cover, maternity cover, radiology, cancer treatment shortfalls, and more.

💙 While Stratum Benefits Compact 300 offers valuable cover, it is important to consider the exclusions and waiting periods associated with the plan.

Stratum Benefits Compact 300 Frequently Asked Questions

What are Stratum Benefits Compact 300?

Stratum Benefits Compact 300 is a gap cover plan offered by Stratum Benefits that provides additional financial protection for medical expenses not covered by medical aid.

What does the in- and out-of-hospital cover of Stratum Benefits Compact 300 include?

Stratum Benefits Compact 300 covers medical expenses incurred inside and outside the hospital, up to 300% of the medical aid tariff.

💙Sharpen your knowledge with a better understanding of Top Medical Aid in South Africa

What is the cover provided under the cancer benefit of Stratum Benefits Compact 300?

Stratum Benefits Compact 300 covers cancer treatment shortfalls up to a limit of R210 580.

Is there a waiting period for pre-existing conditions with Stratum Benefits Compact 300?

Yes, there is a 12-month waiting period for pre-existing conditions, including investigations, procedures, surgeries, and treatments related to illnesses or medical conditions diagnosed within 12 months of starting the policy with Stratum Benefits.

Adriaan Schoeman

Adriaan holds an MBA and specializes in medical aid research. With his commitment to perfection, he ensures the accuracy of all data presented on medicalaid.com every three months. When he is not conducting research, Adriaan can be found indulging in his passion for trout fishing amidst nature.