Home » Gap Cover »

Stratum Benefits Corporate Access Plus 500

Overall, Stratum Benefits Corporate Access Plus 500 is a trustworthy short-term insurance product designed to provide extra protection for those with medical aid. The Stratum Benefits Corporate Access Plus 500 Plan is priced per quote. Stratum Benefits has a trust score of 4.5.

🔎 Provider	🥇 Stratum Benefits Corporate Access Plus 500
🟥 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	N/A
🟥 Oncology Benefit	None
🟧 In-Hospital Benefit	✅ Yes
🟨 Out-of-Hospital Cover	✅ Yes

Stratum Benefits Corporate Access Plus 500 – 6 Key Point Quick Overview

Stratum Benefits Corporate Access Plus 500 Overview

According to the employer group, the Stratum Benefits Corporate Access Plus 500 is one of eleven plans with customizable premiums. Stratum Benefits’ Base has benefits for surgeries, casualties, pathology, illness, accidental death, lifestyle, and more.

Stratum Benefits Gap Cover has eleven plans to choose from:

Stratum Benefits Corporate Access Plus 500 Benefits and Cover Breakdown

This unique booster option provides cover for specific medical procedures and events that may not be covered by an employee’s existing medical aid plan. It goes beyond by covering the most common shortfalls on doctors’ and specialists’ bills for those medical procedures that are not included in the medical aid plan’s cover.

Corporate Access Plus 500 Access Cover

This provides cover for procedures that are not typically covered by medical aid.

🟥 The procedure not covered by Medical Aid	Access Cover Amount Provided
🟧 Arthroscopic Surgery	R50,000
🟨 Back / Neck Surgery	R50,000
🟩 Bunion Surgery	R14,000
🟦 A cochlear implant, auditory brain implant, and internal nerve stimulator surgery (Including the procedure, device, processor, and hearing aids)	R80,000
🟪 Dental Procedures for impacted teeth (children <18 years)	R14,000
🟥 Dental procedures – reconstructive surgery because of an accident	R80,000
🟧 Endoscopic Procedures	R5,000
🟨 Functional Nasal Surgery	R23,000
🟩 Joint replacement surgery (Including non-PMB joint replacements and internal prosthetic devices)	R50,000
🟦 Knee or shoulder surgery	R25,000
🟪 MRI or CT scan is required due to an accidental event	R10,000
🟥 Non-cancerous breast conditions (including breast reconstruction of a breast not affected by cancer)	R20,000
🟧 Esophageal reflux and hiatus hernia surgery	R55,000
🟨 Removal of varicose veins	R20,000
🟩 Skin disorders (including benign growths or lipomas)	R20,000

Corporate Access Plus 500 Benefits

🟥 Gap Benefit	Gap Benefit covers in and out-of-hospital expenses up to 500% with an annual Out-of-Pocket Limit (OPL) of R185,873 per insured person.
🟧 Co-Payment Benefit	Allows unlimited claims for co-payments and deductibles, as long as they do not exceed R5,000 per policy per year.
🟨 Dental Cover	Includes Gap Benefit cover of up to 500%, with limits ranging from R6,000 to R16,000 per policy per year, depending on the procedure. Co-Payment Benefit allows multiple claims for admission and procedure co-payments.
🟩 Maternity Cover	Includes cover for shortfalls in childbirth expenses both in and out-of-hospital, subject to medical aid payments and specific benefit conditions. Stratum Benefits refunds co-payments and deductibles for elective caesareans.
🟦 Radiology Cover	Provides Gap Cover up to 500% of shortfalls, with unlimited cover for co-payments and deductibles from medical aid savings or out-of-pocket expenses.
🟪 Casualty Benefit – Accidents and Illness	Covers accidental events and illness out-of-hospital, reimbursing shortfalls or total costs if paid from medical aid savings or out-of-pocket expenses. Limited to R2,000 per policy per year.
🟥 Accidental Death and Disability	Cover offers R5,000 each for the insured person and their spouse in the event of total and permanent disability or death due to an accident, limited to one event per year.
🟧 First-Time Cancer Diagnosis	Covers up to R15,000 per insured person in their lifetime.
🟨 Lifestyle Benefits	Includes Boston Online Home Education access for grades 8 to 12 high school students. It offers online CAPS and Cambridge International Curriculum content, educational webinars, career guidance, and short learning programs. Registration provides a unique voucher number to access the platform.

Stratum Benefits Corporate Access Plus 500 Exclusions and Waiting Periods

Corporate Access Plus 500 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.

Corporate Access Plus 500 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.

Stratum Benefits Corporate Access Plus 500 vs Other Gap Cover Plans

🔎 Provider	🥇 Stratum Benefits Corporate Access Plus 500	🥈 Cura Administrators Gap Advanced Plus	🥉 Sirago Gap Assist
🟥 Years in Operation	24 years	26 years	30 years
🟧 Underwriters	Guardrisk Insurance Company Limited (FSP 75)	GENRIC Insurance Company Limited	GENRIC Insurance Company Limited (FSP: 43638)
🟨 Market Share in South Africa	>5%	<5%	>10%
🟩 Gap Cover Waiting Period	3 Months	3 – 12 months	From 3 months (up to 12)
🟦 Do Exclusions Apply	✅ Yes	✅ Yes	✅ Yes
🟪 Average Monthly Premium	N/A	R437	R342
🟥 Oncology Benefit	None	✅ Yes	✅ Yes
🟧 In-Hospital Benefit	✅ Yes	✅ Yes	✅ Yes
🟨 Out-of-Hospital Cover	✅ Yes	✅ Yes	✅ Yes
🟩 Maternity Benefit	✅ Yes	✅ Yes	✅ Yes
🟦 Scopes and Scans	✅ Yes	✅ Yes	None
🟪 Co-payment Cover	✅ Yes	✅ Yes	✅ Yes
🟥 Emergency Room	✅ Yes	✅ Yes	✅ Yes
🟧 Accidental Cover	✅ Yes	✅ Yes	✅ Yes
🟨 Trauma Counseling	None	✅ Yes	None
🟩 Premium Waiver	None	✅ Yes	✅ Yes
🟦 Non-DSP Co-Payment	None	✅ Yes	✅ Yes
🟪 Prostheses	✅ Yes	✅ Yes	✅ Yes
🟥 Travel Cover Extender	None	✅ Yes	None
🟧 Accidental Death/ Permanent Disability	✅ Yes	✅ Yes	None

Discover more about the 5 Best Gap Cover Options for Under R1 000

Our Verdict on Stratum Benefits Corporate Access Plus 500

According to our findings, Stratum Benefits’ Corporate Access Plus 500 is a comprehensive gap cover plan that is a valuable addition to standard medical aid. Furthermore, it provides notable cover for various medical procedures and surgeries not typically covered by standard medical aid, with specific coverage amounts.

This plan also offers substantial gap benefits, co-payment benefits, and unique features like accidental death and disability cover. However, according to our research, the plan falls short in several areas compared to its peers, such as not offering oncology benefits or trauma counseling.

Stratum Benefits Corporate Access Plus 500 Frequently Asked Questions

What are the gap benefits provided by the Corporate Access Plus 500 plan?

The gap benefits of the Corporate Access Plus 500 plan cover in and out-of-hospital expenses up to 500%, with an annual Out-of-Pocket Limit of R185,873 per insured person.

Who is the underwriter for the Stratum Benefits Corporate Access Plus 500 plan?

The underwriter for the Stratum Benefits Corporate Access Plus 500 plan is Guardrisk Insurance Company Limited.

What is the annual Out-of-Pocket Limit for the Corporate Access Plus 500 plan?

The annual Out-of-Pocket Limit for the Corporate Access Plus 500 plan is R185,873 per insured person.

How does the Corporate Access Plus 500 plan compare with other gap cover plans?

Compared to other gap cover plans, the Corporate Access Plus 500 plan does not offer certain benefits like oncology benefits, travel cover, non-DSP co-payments, etc.

How does the Corporate Access Plus 500 plan handle co-payments and deductibles?

The Corporate Access Plus 500 plan offers co-payment benefits that allow unlimited claims for co-payments and deductibles as long as they do not exceed R5,000 per policy per year.

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.