The Best Medical Aids
The Best Hospital Plans
Try our new AI Assistant
...
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 R276 ZAR. Stratum Benefits has a trust score of 4.5.
π Provider | π₯ Stratum Benefits Compact 300 |
π₯ Years in Operation | 24 years |
π§ Underwriters | Guardrisk Insurance Company Limited (FSP 75) |
π¨ Market Share in South Africa | >5% |
π© Gap Cover Waiting Period | 3 Months |
π¦ Do Exclusions Apply | β Yes |
πͺ Average Monthly Premium | R276 |
π₯ Oncology Benefit | β Yes |
π§ In-Hospital Benefit | β Yes |
π¨ Out-of-Hospital Cover | β Yes |
The Stratum Benefits Compact 300 is one of eleven plans that starts from R276 per month. Stratum Benefitsβ Base has benefits for penalty co-payments, radiology cover, internal prostheses, cancer treatment shortfalls, casualties, trauma counseling, and more.
Stratum Benefits Gap Cover has eleven plans to choose from:
π₯ Membership Type | π¦ Monthly Contribution |
π§ Individuals <64 years | πͺ R276 |
π¨ If the entire family is <64 years | π₯ R334 |
π© If you or a dependent is >65 years | π¨ R527 |
π₯ Gap Benefit | Covers in and out-of-hospital expenses up to 300% of the medical aid tariff, with an overall limit of R185,873 per insured person annually. |
π§ Co-Payment Benefit | Covers claims on admission and procedure-related co-payments and deductibles up to R15,000. Penalty co-payments on non-DSP providers can be claimed up to R6,500 per policy annually. |
π¨ Dental Cover | Provides cover up to 300%, with limits ranging from R6,000 to R16,000 per policy per year, depending on the procedure. |
π© 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. |
π¦ Sub-Limit Benefit | Covers internal prosthetic devices up to R20,000 per insured person per event after the medical aidβs portion is paid. |
πͺ 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. |
π₯ Cancer Benefit | Covers cancer treatment shortfalls up to R185,837, with options for top-ups up to R60,000 per insured person annually. |
π§ Casualty Benefit β 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. |
π¨ Trauma Counselling | Provides cover up to R5,000 per policy per year. |
π© Accidental Death and Disability | Covers the policyholder, spouse, and dependents, with limits ranging from R5,000 to R15,000 per insured person. |
π¦ First-Time Cancer Diagnosis | Covers up to R15,000 per insured person in their lifetime. |
πͺ Lifestyle Benefits | Offers access to e-learning options through Boston Online Home Education for high school students in grades 8 to 12. |
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.
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
π Provider | π₯ Stratum Benefits Compact 300 | π₯ Sirago Gap Lite | π₯ Ambledown Gap Cover 200 |
π₯ Years in Operation | 24 years | 30 years | 19 years |
π§ Underwriters | Guardrisk Insurance Company Limited (FSP 75) | GENRIC Insurance Company Limited (FSP: 43638) | Guardrisk Insurance Company Limited |
π¨ Market Share in South Africa | >5% | >10% | 20% |
π© Gap Cover Waiting Period | 3 Months | From 3 months (up to 12) | 3 β 12 months |
π¦ Do Exclusions Apply | β Yes | β Yes | β Yes |
πͺ Average Monthly Premium | R276 | R249 | R263 |
π₯ Oncology Benefit | β Yes | None | β Yes |
π§ In-Hospital Benefit | β Yes | β Yes | β Yes |
π¨ Out-of-Hospital Cover | β Yes | β Yes | β Yes |
π© Maternity Benefit | β Yes | β Yes | None |
π¦ Scopes and Scans | β Yes | None | None |
πͺ Co-payment Cover | β Yes | β Yes | None |
π₯ Emergency Room | β Yes | β Yes | β Yes |
π§ Accidental Cover | β Yes | β Yes | β Yes |
π¨ Trauma Counseling | β Yes | None | None |
π© Premium Waiver | None | None | None |
π¦ Non-DSP Co-Payment | None | β Yes | None |
πͺ Prostheses | β Yes | None | None |
π₯ Travel Cover Extender | β Yes | None | None |
π§ Accidental Death/ Permanent Disability | β Yes | None | None |
Stratum Benefits Compact 300 is a comprehensive gap cover plan offered by Stratum Benefits, providing cover for various medical expense gaps.Β The plan aims to address common healthcare costs with in-and out-of-hospital cover of up to 300% of the medical aid tariff and various 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 is a gap cover plan offered by Stratum Benefits that provides additional financial protection for medical expenses not covered by medical aid.
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
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.
Stratum Benefits Compact 300 covers cancer treatment shortfalls up to a limit of R185,837, with the option for top-ups of up to R60,000 per insured person annually.
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 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.
You might also like
Free Gap Cover Quote
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
In the Media
Your compare list
BackAFFORDABLE HEALTH PLANS FROM R469 PER MONTH