Stratum Benefits Corporate Access
Overall, Stratum Benefits Corporate Access is a trustworthy short-term insurance product designed to provide extra protection for those with medical aid. The Stratum Benefits Corporate Access Plan price is determined per quote. Stratum Benefits has a trust score of 4.5.
| 🔎 Provider | 🥇 Stratum Benefits Corporate Access |
| 🟥 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 | None |
Stratum Benefits Corporate Access – 6 Key Point Quick Overview
- ✅ Stratum Benefits Corporate Access Overview
- ✅ Stratum Benefits Corporate Access Benefits and Cover Breakdown
- ✅ Stratum Benefits Corporate Access Exclusions and Waiting Periods
- ✅ Stratum Benefits Corporate Access vs Other Gap Cover Plans
- ✅ Our Verdict on Stratum Benefits Corporate Access
- ✅ Stratum Benefits Corporate Access Frequently Asked Questions
Stratum Benefits Corporate Access Overview
The Stratum Benefits Corporate Access is one of eleven plans with customizable premiums calculated per employer group. 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 Benefits and Cover Breakdown
This plan is an enhanced alternative designed to encompass specific medical procedures not included in the policyholder’s existing medical cover.
It applies to individuals aged 65 and above and families with at least one member aged 65 or above, who will be subjected to the premium associated with a family or individuals over 65.
Under this plan, the benefits offered are contingent upon an annual Out-of-Pocket Limit (OPL) of R 177,835 per policy, regardless of whether the policyholder is covered as an individual or as part of a family. Consequently, any approved claim amounts will be deducted from the OPL.
Corporate Access – 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 |
| 🟦 The 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 Benefits
| 🟥 Cover Type | Summary |
| 🟧 Casualty Cover | Covers all accident-related expenses, including facility and doctor consultation fees, co-payments and deductibles, radiology services, pathology, medication during the accident, and external medical items provided by the facility. |
| 🟨 Illness Cover | Specifically for children under 10 years.
Covers the cost of visits to a casualty facility and associated healthcare provider bills for illness outside normal business hours.
Reimbursement is provided for out-of-pocket expenses. |
| 🟩 Accidental Disability and Death | Provides a benefit of R5,000 each for total and permanent disability or death resulting from an accident.
Limited to one event per person per year. |
| 🟦 Lifestyle Benefit | Offers immediate access to educational content based on the CAPS curriculum for 8th to 12th-grade students.
Designed to support studying, increase knowledge, and improve grades. |
Stratum Benefits Corporate Access Exclusions and Waiting Periods
Corporate Access 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 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 vs Other Gap Cover Plans
| 🔎 Provider | 🥇 Stratum Benefits Corporate Access | 🥈 Dis-Chem Gap Base | 🥉 Liberty Optimal Gap Cover |
| 🟥 Years in Operation | 24 years | 36 years | 66 years |
| 🟧 Underwriters | Guardrisk Insurance Company Limited (FSP 75) | Old Mutual Insure | Guardrisk Life Limited (FSP 76) |
| 🟨 Market Share in South Africa | >5% | <1% | >25% |
| 🟩 Gap Cover Waiting Period | 3 Months | 3 – 12 months | 12 months |
| 🟦 Do Exclusions Apply | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟪 Average Monthly Premium | N/A | R134 | R225 |
| 🟥 Oncology Benefit | None | None | None |
| 🟧 In-Hospital Benefit | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟨 Out-of-Hospital Cover | None | ✅ Yes | ✅ Yes |
| 🟩 Maternity Benefit | None | None | None |
| 🟦 Scopes and Scans | ✅ Yes | None | ✅ Yes |
| 🟪 Co-payment Cover | None | None | ✅ Yes |
| 🟥 Emergency Room | ✅ Yes | None | None |
| 🟧 Accidental Cover | ✅ Yes | ✅ Yes | ✅ Yes |
| 🟨 Trauma Counseling | None | None | ✅ Yes |
| 🟩 Premium Waiver | None | ✅ Yes | ✅ Yes |
| 🟦 Non-DSP Co-Payment | None | None | ✅ Yes |
| 🟪 Prostheses | ✅ Yes | None | ✅ Yes |
| 🟥 Travel Cover Extender | None | None | None |
| 🟧 Accidental Death/ Permanent Disability | ✅ Yes | ✅ Yes | ✅ Yes |
Our Verdict on Stratum Benefits Corporate Access
According to our research, the Corporate Access Plan offers focused cover, making it a suitable choice for employer groups seeking specific gap cover for medical procedures and events not covered by their medical aid plan.
In our experience, including an online schooling platform for high school learners adds a unique value to the plan. However, the cost and waiting periods, determined by various factors, could be a potential drawback for some groups.
Stratum Benefits Corporate Access Frequently Asked Questions
What is Corporate Access?
Corporate Access is a gap cover option offered by Stratum Benefits. It is designed to cover specific medical procedures and events if your medical aid plan excludes it from coverage.
What are the key benefits of Corporate Access?
Corporate Access covers the most often experienced medical expense shortfalls on doctors’ and specialists’ accounts. It also offers online CAPS and Cambridge International Curriculum schooling platforms for Gr.8 to Gr.12 high school learners.
What does the Corporate Access plan cover?
Corporate Access covers specific medical procedures and events if your medical aid plan excludes them from coverage.
What is the online schooling platform under Corporate Access?
The online schooling platform under Corporate Access is a CAPS and Cambridge International Curriculum schooling platform for Gr.8 to Gr.12 high school learners.
Are there any limitations to the Corporate Access plan?
The benefits of the Corporate Access plan are subject to terms and conditions, and certain limitations may apply. Premiums and waiting periods are also determined by the group’s size, average age, and whether coverage is compulsory or voluntary.
