The Best Medical Aids
The Best Hospital Plans
Overall, Turnberry Premier Gap Cover is a trustworthy short-term insurance product designed to provide extra protection for those who already have medical aid. The Turnberry Premier Gap Cover Plan starts from R588 ZAR. Turnberry has a trust score of 4.3.
π Provider | π₯ Turnberry Premier |
π₯ Years in Operation | 22 years |
π§ Underwriters | Lombard Insurance Company |
π¨ Market Share in South Africa | <5% |
π© Gap Cover Waiting Period | 3 β 12 months |
π¦ Do Exclusions Apply | β Yes |
πͺ Average Monthly Premium | R588 |
π₯ Oncology Benefit | β Yes |
π§ In-Hospital Benefit | β Yes |
π¨ Out-of-Hospital Cover | β Yes |
The Turnberry Premier is one of five plans that starts from R588 per month. The Turnberry Premier Plan has benefits for cancer diagnosis, trauma care, illness, co-payments, premium waivers, breast cancer prevention, and more.
Turnberry Gap Cover has five plans to choose from
π °οΈ Families under 65 years | π ±οΈ Families that have members 65 years> |
R588 | R845 |
π₯ Medical Expense Shortfall Cover | Increases medical aid by 600%. Covers costs associated with GPs, Specialists, Anaesthetists, Radiology, Pathology, and Consumables. Subject to the Overall Annual Limit. |
π§ Co-payment cover | Subject to the Overall Annual Limit. |
π¨ Non-DSP Hospital Penalty Cover | Limited to R14,000 per admission. Limited to 1 family claim per year. Subject to the Overall Annual Limit. |
π© Sub-Limit Cover | Limited to R38,000 per admission per insured. Subject to the Overall Annual Limit. |
π¦ Trauma Recovery Cover | The cover is provided when the Medical Scheme has imposed a sub-limit on a step-down facility for physical rehabilitation due to an accident while the policy was in effect. Limited to R3,000 per admission per insured and R10,000 per family per year. |
π₯ Medical Expense Shortfall Cover | Increases medical aid by 600% for impacted wisdom teeth, orthognathic surgery, reconstructive maxillofacial surgery after an accident, and oral cancer diagnosed while on the policy. Subject to the Overall Annual Limit. |
π§ Basic Dental Medical Expense Shortfall Cover for Children | Increases Medical Aid by 600% for basic dentistry for children under 12. Limited to R4,000 per family per year. |
π¨ Co-payment Cover | Subject to the Overall Annual Limit. |
π© Sub-limit and Co-payment Cover Dental Implants | Covers the cost of dental implants for reconstructive maxillofacial surgery due to an accident (which occurred while the policy was in effect) and oral cancer (diagnosed while the policy was in effect). The annual limit is R50,000 per family. Subject to the Overall Annual Maximum. |
π¦ Sub-limit Cover | Limited to R30,000 per admission for impacted wisdom teeth, orthognathic surgery, reconstructive maxillofacial surgery due to an accident while on the policy, and oral cancer (diagnosed while on the policy). Subject to the Overall Annual Limit. |
π₯ Co-payments for MRI, CT, and PET scans | Subject to the Overall Annual Limit. |
π§ Co-payments for scopes | Limited to R4,000 per event. Limited to 2 claims per insured yearly. Subject to the Overall Annual Limit. |
π¨ Sub-limit cover for MRI, CT, and PET scans | Limited to R38,000 per event per insured. Subject to the Overall Annual Limit. |
π© Casualty Benefits for Accidents | Limited to R15,000 per event per insured. Subject to the Overall Annual Limit. |
π¦ Casualty Benefit for Illness | Limited to R3,500 per event. Limited to 3 claims per family yearly. Subject to the Overall Annual Limit. Treatment is limited to 6 pm β 6 am, MondaysβFridays, SaturdaysβSundays, and Public Holidays |
π₯ Traditional Cancer Cover | Pays for cancer treatment in a private facility, including sub-limits, deductibles, and co-payments. Subject to the Overall Annual Limit. |
π§ Biological Cancer Drug Cover | Covers Biological Cancer Drugs when the Medical Scheme has a sub-limit. Subject to the formulary and the Annual Maximum |
π¨ Innovative Cancer Drug Cover | Cover for new and innovative cancer drugs. Each claim is limited to R10,000. Subject to the Overall Annual Limit. |
π© MRI and CT Scan Cover | Covers MRI and CT scans without Medical Scheme cover. Limited R6,500 per event and 2 claims per family per year. Subject to the Overall Annual Limit. |
π¦ Trauma Care Cover | Covers trauma counseling with a registered healthcare provider after a member is diagnosed with a critical illness, is a victim of a violent crime, or loses an immediate family member. Limited to R2,000 per insured and R8,000 per family annually. Subject to the Overall Annual Limit |
πͺ Breast Cancer Prevention Cover | Increases the Medical Aid rate for a Prophylactic Mastectomy by up to 600%. Subject to clinical entry criteria and the Annual Maximum. |
π₯ Breast Cancer Reconstruction Cover | Increases the Medical Aid rate for breast reconstruction after a mastectomy due to cancer for the affected breast by up to 600%. When there is no benefit on the insured personβs Medical Scheme, reconstruction of the unaffected breast for symmetry is limited to R25,000 per insured person per lifetime. Subject to the Overall Annual Limit. |
π₯ Cancer Diagnosis Benefit | Once-off payment for initial diagnosis of Cancer according to the stage at the time of diagnosis, limited to the following: Stage 1 β R5,000 Stage 2 β R15,000 Stage 3 β R20,000 Stage 4 β R25,000 |
π§ Medical Scheme Contribution Waiver | Limited to R6,000 per month for six months if the Medical Scheme Contribution Payer dies or becomes permanently disabled in an accident. |
π¨ Gap Premium Waiver | Pays your Premier Policy premium for 12 months if the Contribution Payer dies or becomes permanently disabled in an accident. |
π© Personal Accident Benefit | Limited to R30,000 per insured registered on the policy if there is accidental death or permanent total disability. |
π¦ Critical Illness Benefit | The policy is limited to R10,000 per insured if a death or critical illness occurs (excluding cancer). |
πͺ International Travel Cover | R5 million per insured, but a 48-hour travel notice is required. |
Read more about the 5 Affordable Medical Aids for University Students
Turnberry Premier excludes Hospitalization, bodily injury, sickness, or disease caused by:
and more. A full list of exclusions will be provided by Turnberry.
There is a general waiting period of three months for all benefits except accidents on the policy and a waiting period of 10 months for pregnancy/childbirth.Β Furthermore, there is a waiting period of 12 months for the following treatments:
and more. A full overview of Premier Waiting Periods will be provided by Turnberry.
π Provider | π₯ Turnberry Premier | π₯ Standard Bank GapAssist Universal | π₯ Stratum Benefits Elite |
π₯ Years in Operation | 22 years | 61 years (Standard Bank) | 24 years |
π§ Underwriters | Lombard Insurance Company | Standard Insurance Limited | Guardrisk Insurance Company Limited (FSP 75) |
π¨ Market Share in South Africa | <5% | <10% | >5% |
π© Gap Cover Waiting Period | 3 β 12 months | 12 Months | 3 Months |
π¦ Do Exclusions Apply | β Yes | β Yes | β Yes |
πͺ Average Monthly Premium | R588 | R478 | R404 |
π₯ Oncology Benefit | β Yes | β Yes | 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 | None | None | β Yes |
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 | β Yes | β Yes |
π© Premium Waiver | β Yes | β Yes | None |
π¦ Non-DSP Co-Payment | β Yes | β Yes | None |
πͺ Prostheses | None | β Yes | β Yes |
π₯ Travel Cover Extender | β Yes | None | β Yes |
π§ Accidental Death/ Permanent Disability | β Yes | β Yes | β Yes |
Our findings indicate that The Turnberry Premier plan is a comprehensive gap cover solution that provides a robust range of in-hospital and out-of-hospital benefits to supplement your existing medical aid cover.
It offers increased coverage for medical services and procedures, helping to bridge the gap between what your medical aid pays and the actual cost of medical services.Β The planβs extensive cover for cancer treatments, diagnostic scans, trauma counseling, and breast cancer prevention is particularly noteworthy.
The Turnberry Premier gap cover plan is a comprehensive healthcare plan offering in-hospital and out-of-hospital benefits.
The overall annual limit is R185,837.63 per insured per annum.
The monthly premiums for the Turnberry Premier plan range from R588 to R845, depending on age.
Yes, Turnberry is an authorized Financial Services Provider.
The plan includes an in-hospital dental cover with a sub-limit and co-payment cover for dental implants. It also provides basic dental medical expense shortfall cover for children.
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