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Overall, Stratum Benefits Corporate Elite is a trustworthy short-term insurance product designed to provide extra protection for those with medical aid. The Stratum Benefits Corporate Elite Plan price is set per quote. Stratum Benefits has a trust score of 4.5.
π Provider | π₯ Stratum Benefits Corporate Elite |
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 | N/A |
π₯ Oncology Benefit | β Yes |
π§ In-Hospital Benefit | β Yes |
π¨ Out-of-Hospital Cover | β Yes |
The Stratum Benefits Corporate Elite is one of eleven plans with customized premiums per employer group. Stratum Benefitsβ Base has benefits for in-hospital procedures and treatments, co-payments for dental procedures and admissions, maternity, sub-limits, radiology, and more.
Stratum Benefits Gap Cover has eleven plans to choose from:
π₯ Gap Benefit | Covers in and out-of-hospital expenses up to 500% with an annual limit of R185,873 per insured person. |
π§ 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). |
π¨ 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. |
π© Maternity Cover | Includes cover for pre-natal consultations, childbirth shortfalls, post-natal consultation shortfalls, preventative procedures, childhood immunizations, birth control, and private room shortfalls. |
π¦ 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). |
πͺ 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). |
π₯ 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). |
π§ Physical Rehab | Provides cover up to R10,000 per insured person per year. |
π¨ Out-Patient Specialist Consultation Benefit | Covers up to R1,300 per consultation, limited to 3 consultations per policy per year. |
π© Casualty Benefit β Accidents and Illness | Reimburses shortfalls or total costs for casualty events up to R12,000 per policy per year. |
π¦ Trauma Counselling | Provides cover up to R10,000 per policy per year. |
πͺ Preventative Care | Covers various tests and immunizations up to R1,300 per policy per year. |
π₯ Private Room Benefits | Covers up to R3,000 per policy per year. |
π§ 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. |
π¨ First-Time Cancer Diagnosis | Covers up to R30,000 per insured person in their lifetime. |
π© Medical Aid Contribution Waiver | Covers up to R4,500 per month for six months. |
π¦ 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. |
πͺ Lifestyle Benefits | Offers access to e-learning options through Boston Online Home Education for high school students in grades 8 to 12. |
π₯ 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. |
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.
π Provider | π₯ Stratum Benefits Corporate Elite | π₯ Linksave Gap 500 Plus | π₯ Elixi Family Co-Plus |
π₯ Years in Operation | 24 years | 9 years | 6 years |
π§ Underwriters | Guardrisk Insurance Company Limited (FSP 75) | Renasa Insurance Company Limited | Unity Health |
π¨ Market Share in South Africa | >5% | <1% | <5% |
π© Gap Cover Waiting Period | 3 Months | 3 β 12 months | 3 β 12 months |
π¦ Do Exclusions Apply | β Yes | β Yes | β Yes |
πͺ Average Monthly Premium | N/A | R422 | R441 |
π₯ Oncology Benefit | β Yes | None | None |
π§ In-Hospital Benefit | β Yes | None | β Yes |
π¨ Out-of-Hospital Cover | β Yes | None | β Yes |
π© Maternity Benefit | β Yes | None | None |
π¦ Scopes and Scans | β Yes | β Yes | β Yes |
πͺ Co-payment Cover | β Yes | β Yes | β Yes |
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 | β Yes | β Yes |
π¦ Non-DSP Co-Payment | None | β Yes | None |
πͺ Prostheses | β Yes | None | β Yes |
π₯ Travel Cover Extender | β Yes | None | None |
π§ Accidental Death/ Permanent Disability | β Yes | β Yes | β Yes |
According to our research, the Corporate Elite Plan offers comprehensive coverage and a wide range of benefits, making it a strong choice for employer groups seeking extensive gap cover.
In our experience, including lifestyle benefits and waivers adds value to the plan. However, the cost and waiting periods, determined by various factors, could be a potential drawback for some groups.Β Therefore, each employer group must assess their specific needs and circumstances before deciding if this plan best fits them.
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Corporate Elite is a gap cover option offered by Stratum Benefits. It is designed to provide the widest range of benefits and the highest level of coverage and is available to employer groups.
Corporate Elite offers a range of benefits, including a private room benefit, accidental death and disability benefits, first-time cancer diagnosis benefits, international travel insurance, and more.
The private room benefit under Corporate Elite is R 3,000 per policy per year.
The first-time cancer diagnosis benefit under Corporate Elite is R 30,000 per person per lifetime.
The lifestyle benefits under Corporate Elite include extra high school learning support and international travel insurance for 1 trip per policy per year, a maximum of 31 days.
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.
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