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Turnberry

Premier

About this plan

Premium gap cover providing up to 600% medical aid tariff cover for specialist shortfalls, comprehensive oncology benefits, approved co-payments, casualty benefits, and extensive hospital-related protection.
Monthly premium
From
R315
per month

What's covered

Hospital cover
Savings account
Day-to-day
Chronic cover
Dental
Optical
Maternity
Mental health

Waiting periods

General
3 months
Pre-existing conditions
12 months

Premier

Turnberry-Premier

Turnberry Premier (πŸ‡ΏπŸ‡¦ 2025)

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 R673 ZAR. Turnberry has a trust score of 4.3.  
πŸ”Ž ProviderπŸ₯‡ Turnberry Premier
πŸŸ₯ Years in Operation23 years
🟧 UnderwritersLombard Insurance Company
🟨 Market Share in South Africa<5%
🟩 Gap Cover Waiting Period3 – 12 months
🟦 Do Exclusions Applyβœ… Yes
πŸŸͺ Average Monthly PremiumR673
πŸŸ₯ Oncology Benefitβœ… Yes
🟧 In-Hospital Benefitβœ… Yes
🟨 Out-of-Hospital Coverβœ… Yes
  Turnberry Premier Contributions

Turnberry Premier Gap Cover - 7 Key Point Quick Overview

  1. βœ… Turnberry Premier Overview
  2. βœ… Turnberry Premier Premiums
  3. βœ… Turnberry Premier Benefits and Cover Breakdown
  4. βœ… Turnberry Premier Exclusions and Waiting Periods
  5. βœ… Turnberry Premier vs Other Gap Cover Plans
  6. βœ… Our Verdict on Turnberry Premier
  7. βœ… Turnberry Premier Frequently Asked Questions

Turnberry Premier Overview

The Turnberry Premier is one of five plans that starts from R673 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 Turnberry Premier Added Benefits

Turnberry Premier Premiums

πŸ…°οΈ Families under 65 yearsπŸ…±οΈ Families that have members 65 years>
R673R968
  Turnberry Premier In Hospital Benefits

Turnberry Premier Benefits and Cover Breakdown

Turnberry Premier In-Hospital Benefits

πŸŸ₯ Medical Expense Shortfall CoverIncreases medical aid by 600%. Covers costs associated with GPs, Specialists, Anaesthetists, Radiology, Pathology, and Consumables. Subject to the Overall Annual Limit.
🟧 Co-payment coverSubject to the Overall Annual Limit.
🟨 Non-DSP Hospital Penalty CoverLimited to R16,500 per admission. Limited to 1 family claim per year. Subject to the Overall Annual Limit.
🟩 Sub-Limit CoverLimited to R43,000 per admission per insured. Subject to the Overall Annual Limit.
🟦 Trauma Recovery CoverThe 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 R6,000 per admission per insured and R10,000 per family per year.
 

Turnberry Premier In-Hospital Dental Cover

πŸŸ₯ Medical Expense Shortfall CoverIncreases 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.
🟧 Basic Dental Medical Expense Shortfall Cover for ChildrenIncreases Medical Aid by 600% for basic dentistry for children under 12. Limited to R5,000 per family per year.
🟨 Co-payment CoverSubject to the Overall Annual Limit.
🟩 Sub-limit and Co-payment Cover Dental ImplantsCovers 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 R55,000 per family. Subject to the Overall Annual Maximum.
🟦 Sub-limit CoverLimited to R34,000 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.
 

Turnberry Premier Out-of-Hospital Benefits

πŸŸ₯ Co-payments for MRI, CT, and PET scansSubject to the Overall Annual Limit
🟧 Co-payments for scopesLimited to R8,000 per event. Limited to 2 claims per insured yearly. Subject to the Overall Annual Limit.
🟨 Trauma Care CoverCovers the cost of trauma counselling consultations with a registered healthcare provider after a member has been diagnosed with a critical illness, a victim of a violent crime or experienced the death of an immediate family member. Limited to R3 000 per consultation and R8 000 per family per annum. Subject to the Overall Annual Limit
🟩 Personal Accident BenefitR34 000 per insured on the Policy in the event of accidental death or permanent and total disability
🟦 Casualty Benefit for IllnessR5 000 per event. Limited to 3 claims per family per annum. Subject to the Overall Annual Limit. Treatment is restricted to between the hours of 6pm – 6am Mondays – Fridays, Saturdays, Sundays and Public Holidays
🟫 Casualty Benefit for AccidentsR18 000 per event per insured. Subject to the Overall Annual Limit.
πŸŸͺ SUB-Limit cover for MRI, CT and Pet ScansR43 000 per event per insured. Subject to the Overall Annual Limit
 

Turnberry Premier In-Hospital and Out-of-Hospital Benefits

πŸŸ₯ Traditional Cancer CoverPays for treatment in a private facility, including sub limits, deductibles or co-payments related to cancer treatment. Subject to the Overall Annual Limit
🟧 Biological Cancer Drug CoverProvides cover for Biological Cancer Drugs when the Medical Scheme imposes a sub-limit. Subject to the formulary (see pg 3) and the Overall Annual Limit
🟨 Innovative Cancer Drug CoverProvides cover for new innovative cancer drugs. Limited to R12 000 per claim. Subject to the Overall Annual Limit
🟩 MRI and CT Scan CoverProvides cover for MRI and CT scans when there is no benefit available on your Medical Scheme. Limited to R8 000 per event and 2 claims per family per annum. Subject to the Overall Annual Limit
🟦 Investigative TreatmentScopes for Screening purposes will be limited to 1 every 5 years, per insured person and R8 500. Subject to the Overall Annual Limit
πŸŸͺ Trauma Care CoverCovers the cost of trauma counselling consultations with a registered healthcare provider after a member has been diagnosed with a critical illness, a victim of a violent crime or experienced the death of an immediate family member. Limited to R3 000 per consultation and R8 000 per family per annum. Subject to the Overall Annual Limit
πŸŸ₯ Breast Cancer Prevention CoverIncreases the Medical Aid rate up to 600% for a Prophylactic Mastectomy. Subject to clinical entry criteria and the Overall Annual Limit
⬛ Breast Cancer Reconstruction CoverIncreases the Medical Aid rate up to 600% for a breast reconstruction post mastectomy due to cancer for the affected breast. Reconstruction of the unaffected breast for the purposes of symmetry, when there is no benefit on the Insured person’s Medical Scheme is limited to R29 000 per insured person, per lifetime. Subject to the Overall Annual Limit
 

Turnberry Premier Added Benefits

πŸŸ₯ Cancer Diagnosis BenefitOnce-off payment for initial diagnosis of Cancer according to the stage at the time of diagnosis, limited to the following: Stage 1 R7 500 Stage 2 R18 000 Stage 3 R25 000 Stage 4 R30 000
🟧 Medical Scheme Contribution WaiverLimited to R7 500 per month for six months if the Medical Scheme Contribution Payer dies or becomes permanently disabled in an accident.
🟨 Gap Premium WaiverPays your Premier Policy premium for 12 months if the Contribution Payer dies or becomes permanently disabled in an accident.
🟩 Personal Accident BenefitLimited to R34,000 per insured registered on the policy if there is accidental death or permanent total disability.
🟦 Critical Illness BenefitThe policy is limited to R13 500 per insured if a death or critical illness occurs (excluding cancer).
πŸŸͺ International Travel CoverR5 million per insured, but a 48-hour travel notice is required.
 

πŸ’™Read more about the 5 Affordable Medical Aids for University Students

Turnberry Premier Benefits and Cover Breakdown

Turnberry Premier Exclusions and Waiting Periods

Turnberry Premier Exclusions

Turnberry Premier excludes Hospitalization, bodily injury, sickness, or disease caused by:
  • βœ… Nuclear weapons, nuclear material, or ionizing radiation.
  • βœ… LASIK or other refractive surgery for myopia, hyperopia, and astigmatism.
  • βœ… Investigations, treatment, or surgery for obesity or cosmetic purposes.
  • βœ… Suicide, attempted suicide, or intentional self-injury.
  • βœ… Taking drugs or narcotics not prescribed by a Medical Practitioner.
  • βœ… Alcohol-related illness or exceeding the legal alcohol limit.
  • βœ… Artificial insemination, hormone treatment, or surgery.
  • βœ… Treatment or conditions excluded or paid less by the Insured’s Medical Scheme.
  • βœ… Treatment for not following doctor’s orders.
  • βœ… Casualty Illness Benefit treatment not received during specified hours.
  • βœ… Injuries from professional sports or dangerous recreational activities.
  and more. A full list of exclusions will be provided by Turnberry.  

Turnberry Premier Waiting Periods

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.   Furthermore, there is a waiting period of 12 months for the following treatments:
  • βœ… Investigations
  • βœ… Treatment or surgery related to hysterectomy
  • βœ… Hysteroscopies
  • βœ… Endometriosis
  • βœ… Ovarian cysts and fibroids
  • βœ… Musculoskeletal conditions
  • βœ… Tonsillectomy
  • βœ… Myringotomy
  • βœ… Grommets
  • βœ… Adenoids
  and more. A full overview of Premier Waiting Periods will be provided by Turnberry.   Premier Waiting Periods

Turnberry Premier vs Other Gap Cover Plans

πŸ”Ž ProviderπŸ₯‡ Turnberry PremierπŸ₯ˆ Standard Bank GapAssist UniversalπŸ₯‰ Stratum Benefits Elite
πŸŸ₯ Years in Operation22 years61 years (Standard Bank)24 years
🟧 UnderwritersLombard Insurance CompanyStandard Insurance LimitedGuardrisk Insurance Company Limited (FSP 75)
🟨 Market Share in South Africa<5%<10%>5%
🟩 Gap Cover Waiting Period3 – 12 months12 Months3 Months
🟦 Do Exclusions Applyβœ… Yesβœ… Yesβœ… Yes
πŸŸͺ Average Monthly PremiumR673R537R481
πŸŸ₯ Oncology Benefitβœ… Yesβœ… Yesβœ… Yes
🟧 In-Hospital Benefitβœ… Yesβœ… Yesβœ… Yes
🟨 Out-of-Hospital Coverβœ… Yesβœ… Yesβœ… Yes
🟩 Maternity BenefitNoneNoneβœ… Yes
🟦 Scopes and Scansβœ… Yesβœ… Yesβœ… Yes
πŸŸͺ Co-payment Coverβœ… Yesβœ… Yesβœ… Yes
πŸŸ₯ Emergency Roomβœ… Yesβœ… Yesβœ… Yes
🟧 Accidental Coverβœ… Yesβœ… Yesβœ… Yes
🟨 Trauma Counselingβœ… Yesβœ… Yesβœ… Yes
🟩 Premium Waiverβœ… Yesβœ… YesNone
🟦 Non-DSP Co-Paymentβœ… Yesβœ… YesNone
πŸŸͺ ProsthesesNoneβœ… Yesβœ… Yes
πŸŸ₯ Travel Cover Extenderβœ… YesNoneβœ… Yes
🟧 Accidental Death/ Permanent Disabilityβœ… Yesβœ… Yesβœ… Yes
  Turnberry Premier vs Other Gap Cover Plans

Our Verdict on Turnberry Premier

  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 plan’s extensive cover for cancer treatments, diagnostic scans, trauma counseling, and breast cancer prevention is particularly noteworthy.    

Turnberry Premier Frequently Asked Questions

What is the Turnberry Premier gap cover plan?

The Turnberry Premier gap cover plan is a comprehensive healthcare plan offering in-hospital and out-of-hospital benefits.  

What is the overall annual limit for the Turnberry Premier plan?

The overall annual limit is R210,580.06 per insured per annum.  

How much does the Turnberry Premier plan cost?

The monthly premiums for the Turnberry Premier plan range from R673 to R968, depending on age.  

Is Turnberry an authorized Financial Services Provider?

Yes, Turnberry is an authorized Financial Services Provider.  

What dental benefits are included in the Turnberry Premier plan?

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.
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