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Stratum Benefits Corporate Elite Plus

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

🔎 Provider	🥇 Stratum Benefits Corporate Elite Plus
🟥 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	✅ Yes
🟧 In-Hospital Benefit	✅ Yes
🟨 Out-of-Hospital Cover	✅ Yes

Stratum Benefits Corporate Elite Plus – 6 Key Point Quick Overview

Stratum Benefits Corporate Elite Plus Overview

The Stratum Benefits Corporate Elite Plus is one of eleven plans with customized premiums per employer group. Stratum Benefits’ Base has benefits for Scopes and scans, breast reconstruction after mastectomy, physical rehabilitation, illness, accidents, and more.

Stratum Benefits Gap Cover has eleven plans to choose from:

Stratum Benefits Corporate Elite Plus Benefits and Cover Breakdown

🟥 Gap Benefit	Covers in and out-of-hospital expenses up to 500% with an annual limit of R185,873 per insured person.
🟧 Co-Payment Benefit	Includes cover for admission and procedure co-payments, penalty co-payments (up to R13,000 per year), and robotic surgery co-payments (up to R10,000 per year).
🟨 Dental Cover	Provides gap benefit cover up to 500% with varying limits (R8,000 to R24,000 per year) depending on the procedure. Also covers co-payments for admissions and procedures up to R185,837 per insured person per year.
🟩 Maternity Cover	Includes cover for pre-natal consultations, childbirth shortfalls, post-natal consultation shortfalls, preventative procedures, childhood immunizations, birth control, and private room shortfalls.
🟦 Sub-Limit Benefit	Covers specific medical procedures such as colonoscopies, enterostomies, gastroscopies (up to R5,000 per event), internal prosthetic devices (up to R30,000 per event), and renal dialysis treatments (up to R30,000 per event).
🟪 Radiology Cover	Provides gap benefit cover up to R185,837 per insured person per year and co-payment cover for admissions and procedures. Also covers sub-limit benefits for MRI, CT, and PET scans (up to R5,000 per event) and a top-up benefit for the same scans (up to R5,000 per year).
🟥 Cancer Benefit	Covers breast reconstruction (up to R30,000 per lifetime), cancer treatment shortfalls (up to R185,837), and cancer treatment top-ups (up to R185,837 per year).
🟧 Physical Rehab	Provides cover up to R10,000 per insured person per year.
🟨 Out-Patient Specialist Consultation Benefit	Covers up to R1,300 per consultation, limited to 3 consultations per policy per year.
🟩 Casualty Benefit – Accidents and Illness	Reimburses shortfalls or total costs for casualty events up to R12,000 per policy per year.
🟦 Trauma Counselling	Provides cover up to R10,000 per policy per year.
🟪 Preventative Care	Covers various tests and immunizations up to R1,300 per policy per year.
🟥 Private Room Benefits	Covers up to R3,000 per policy per year.
🟧 Accidental Death and Disability	Provides cover for the policyholder, spouse (up to R25,000 per insured person), and dependents (up to R5,000 per insured person) with a limit of 1 event per insured person per year.
🟨 First-Time Cancer Diagnosis	Covers up to R30,000 per insured person in their lifetime.
🟩 Medical Aid Contribution Waiver	Covers up to R4,500 per month for six months.
🟦 Stratum Benefits Premium Waiver	Pays the premiums if the policyholder or the premium payer dies or becomes totally and permanently disabled. Employer-paid premiums must be included in the total salary package.
🟪 Lifestyle Benefits	Offers access to e-learning options through Boston Online Home Education for high school students in grades 8 to 12.
🟥 International Travel Insurance	Covers the entire family for acute illness and injury during pleasure trips outside South African borders, with a maximum of 31 days per trip and one per policy per year.

Stratum Benefits Corporate Elite Plus Exclusions and Waiting Periods

Corporate Elite Plus 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 Elite Plus 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 Elite Plus vs Other Gap Cover Plans

🔎 Provider	🥇 Stratum Benefits Corporate Elite Plus	🥈 Auto & General Absolute Gap Cover	🥉 Sirago Gov-Gap Cover
🟥 Years in Operation	24 years	38 years	30 years
🟧 Underwriters	Guardrisk Insurance Company Limited (FSP 75)	1Life Insurance Limited	GENRIC Insurance Company Limited (FSP: 43638)
🟨 Market Share in South Africa	>5%	<5%	>10%
🟩 Gap Cover Waiting Period	3 Months	10 months	From 3 months (up to 12)
🟦 Do Exclusions Apply	✅ Yes	✅ Yes	✅ Yes
🟪 Average Monthly Premium	N/A	R450	R350
🟥 Oncology Benefit	✅ Yes	✅ Yes	✅ Yes
🟧 In-Hospital Benefit	✅ Yes	✅ Yes	✅ Yes
🟨 Out-of-Hospital Cover	✅ Yes	✅ Yes	✅ Yes
🟩 Maternity Benefit	✅ Yes	None	✅ Yes
🟦 Scopes and Scans	✅ Yes	✅ Yes	✅ Yes
🟪 Co-payment Cover	✅ Yes	✅ Yes	✅ Yes
🟥 Emergency Room	✅ Yes	✅ Yes	✅ Yes
🟧 Accidental Cover	✅ Yes	✅ Yes	✅ Yes
🟨 Trauma Counseling	✅ Yes	None	None
🟩 Premium Waiver	None	✅ Yes	✅ Yes
🟦 Non-DSP Co-Payment	None	✅ Yes	None
🟪 Prostheses	✅ Yes	✅ Yes	✅ Yes
🟥 Travel Cover Extender	✅ Yes	None	None
🟧 Accidental Death/ Permanent Disability	✅ Yes	None	✅ Yes

Our Verdict on Stratum Benefits Corporate Elite Plus

According to our findings, the Corporate Elite Plus Plan offers extensive benefits, making it a comprehensive choice for employer groups seeking robust gap cover. In addition, it offers competitive, customized premiums and has a good reputation in the market.

Furthermore, we found that including lifestyle benefits, waivers, and a longer policy premium waiver period adds significant value to the plan. In addition, extended cancer coverage, maternity benefits, and outpatient consults can be an advantage for individuals.

However, we urge employer groups to consider the waiting periods, exclusions, and the absence of certain features when deciding if this plan fits their needs.

Stratum Benefits Corporate Elite Plus Frequently Asked Questions

What is the monthly premium for Stratum Benefits Corporate Elite Plus?

Premiums are calculated per employer group.

Does the plan cover oncology treatment?

Yes, Corporate Elite Plus provides cover for oncology treatment.

Are there waiting periods for claims?

Yes, there is a three-month general waiting period for all claims except accidental events and a 12-month waiting period for pre-existing conditions.

What are the exclusions of the plan?

Within the first 10 months of coverage, certain medical events/procedures have a reduced cover of 20% of the claim amount.

Is there cover for maternity benefits?

Yes, Corporate Elite Plus covers various maternity-related expenses such as pre-natal consultations, childbirth shortfalls, and post-natal consultation shortfalls.

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.