Stratum Benefits Corporate Essential Emergency/Accident Plan
Overall, the Stratum Benefits Corporate Essential Emergency/Accident Plan is a trustworthy and comprehensive health insurance plan that offers 24/7 medical emergency assistance and in-hospital procedures to up to 3 Family Members. The Stratum Benefits Corporate Essential Emergency/Accident Plan starts from R561.60 ZAR. Stratum Benefits has a trust score of 4.1.
| 🔎 Medical Health Plan | 🥇 Stratum Benefits Corporate Essential Emergency & Accident |
| 👤 Main Member Contribution | Variable |
| 👥 Adult Dependent Contribution | Variable |
| 🍼 Child Dependent Contribution | Variable |
| 🔁 Gap Cover | ✅ Yes |
| 💙 Hospital Cover | ✅ Yes |
Stratum Benefits Corporate Essential Emergency/Accident Plan – 6 Key Point Quick Overview
- ✅ Stratum Benefits Corporate Essential Emergency/Accident Plan Overview
- ✅ Stratum Benefits Corporate Essential Emergency/Accident Plan Benefits and Cover Comprehensive Breakdown
- ✅ Stratum Benefits Corporate Essential Emergency/Accident Plan Exclusions and Waiting Periods
- ✅ Stratum Benefits Corporate Essential Emergency/Accident Plan vs Plans Offered by Other Providers or Medical Aid Schemes
- ✅ Our Verdict on the Stratum Benefits Corporate Essential Emergency/Accident Plan
- ✅ Stratum Benefits Corporate Essential Emergency/Accident Plan Frequently Asked Questions
Stratum Benefits Corporate Essential Emergency/Accident Plan Overview
The Stratum Benefits Corporate Essential Emergency/Accident Plan is one of 4. It offers a pay-out benefit for the accidental death of the principal member, emergency and accident cover, and more.
Gap Cover is available on the Stratum Benefits Corporate Essential Emergency/Accident Plan, along with 24/7 medical emergency assistance. According to the Trust Index, Stratum Benefits has a trust rating of 9.
Stratum Benefits Health Insurance has the following four plans to choose from:
Stratum Benefits Corporate Essential Day-to-Day Plan
Stratum Benefits Corporate Essential Emergency/Accident Plan
Stratum Benefits Essential Primary Plus Day-to-Day Plan
Stratum Benefits Essential Primary Plus Emergency/Accident Plan
Stratum Benefits Corporate Essential Emergency/Accident Plan Benefits and Cover Comprehensive Breakdown
Emergency and Accident Benefits
✅ Emergency Cover
- In case of a medical emergency, transportation to the nearest private hospital and admission for stabilization will be covered.
- The cover is limited to R27,800 per person per event.
- Pre-authorization is required for smooth admission into the hospital.
✅ Accident Cover
- Cover for immediate medical treatment for physical injuries sustained due to an accident.
- The cost of transportation and admission to the nearest private hospital will be covered.
- The cover is limited to R 1,300,000 per person per event.
- Pre-authorization is required for smooth admission into the hospital.
| 🟥 Casualty Accident Cover | Cover for less severe accidents requiring immediate medical treatment is provided for treatment at the nearest private hospital’s emergency unit.
The cover is limited to R7,195 per person per event.
Pre-authorization is required. |
| 🟧 MRI and Scans | If admitted to the hospital for physical injuries sustained due to an accident, the cost of an MRI or CT scan will be covered.
The cover is limited to R18,900 per person per year.
Pre-authorization is required. |
| 🟨 Physiotherapy and Occupational Therapy | Physiotherapist and occupational therapist’s fees will be covered if hospitalized due to an accident and need physical therapy after discharge.
The cover is limited to R3,600 per person per year.
Pre-authorization is required.
Covers therapy is required after discharge within 3 months. |
| 🟩 24-Hour Medical Emergency Services | ER24’s all-day, every-day national emergency contact center helps with the following:
Ambulance transfers between hospitals.
Emergency transport services by air or road.
Repatriation of loved ones’ mortal remains within the borders of South Africa.
Telephonic medical advice. |
| 🟦 Pay-Out Benefit | Limited to R25,000 per person for the principal insured and spouse if passes away due to an accident.
Benefit amounts payable to nominated beneficiaries or respective estates.
Each child dependent is covered for R5,000 if death is due to a motor vehicle accident.
The benefit amount payable to the principal insured or the principal insured’s estate if there’s no surviving principal insured. |
✅ Testing and Screening
Essential Assistance Program (EAP): Reality Wellness Group provides unlimited 24/7 telephonic advice and counseling services for financial advice, legal advice, HIV/AIDS counseling, and trauma counseling.
✅ Lifestyle Benefit
Extra High School Learning Support:
- High school learners from Grades 8 to 12 can access e-learning solutions through Boston Online Home Education.
- These solutions offer online CAPS and Cambridge International Curriculum content, educational webinars, career guidance, short learning programs, and more.
To access the platform, learners must register online, and a coupon with a unique voucher number will be issued.
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Stratum Benefits Corporate Essential Emergency/Accident Plan Exclusions and Waiting Periods
Stratum Benefits Corporate Essential Emergency/Accident Plan Exclusions
The insurance policy does not cover the following events:
- Uninsured events.
- Events during a waiting period, except for medical emergencies or accidents.
- Policy benefits limit events.
- Inappropriate policy benefits.
- Missed pre-authorization or healthcare provider referral.
- Events where non-network healthcare or service providers are used unless the policy covers it.
- Non-emergency hospital or casualty admissions.
- In-patient stabilization procedures unless they are emergency stabilization costs.
- MRI/CT scans unless accidental.
- Non-emergency medical transport.
- Non-accidental physical therapy or occupational therapy after 3 months of hospital discharge.
- Costs of voluntary private hospitalization after medical stabilization.
and many more. A full list of exclusions will be made available by Stratum Benefits.
Stratum Benefits Corporate Essential Emergency/Accident Plan Waiting Periods
The following waiting periods apply to the Corporate Essential Emergency & Accident Plan:
- 2-month general waiting period where there is no cover for Day-to-Day Wellness Assessment and Preventative Care Benefits.
- 9-month waiting period for pre-birth consultation.
- 12-month waiting period for chronic medication.
Finally, a 12-month waiting period will apply for eye care.
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Stratum Benefits Corporate Essential Emergency/Accident Plan vs Plans Offered by Other Providers or Medical Aid Schemes
| 🔎 Medical Health Plan | 🥇 Stratum Benefits Corporate Essential Emergency & Accident | 🥈 EssentialMED Accident and Emergency | 🥉 Day1 Health Value Plus Hospital |
| 👤 Main Member Contribution | Variable | R561.60 – R791.60 | R345 |
| 👥 Adult Dependent Contribution | Variable | R561.60 – R791.60 | R345 – R569 |
| 🍼 Child Dependent Contribution | Variable | R561.60 – R791.60 | R552 – R1,397 |
| 🔁 Gap Cover | ✅ Yes | None | None |
| 💙 Hospital Cover | ✅ Yes | None | Ilness Benefit |
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Our Verdict on the Stratum Benefits Corporate Essential Emergency/Accident Plan
According to our research, the Corporate Essential Emergency & Accident Plan is a comprehensive insurance policy designed to provide cover for medical emergencies and accidents for corporate groups.
The plan provides emergency medical care, transportation, hospitalization, MRI or CT scans, physiotherapy or occupational therapy, ambulance transfers, and telephonic medical advice through ER24’s emergency contact center.
One distinctive feature of this plan is that it can be tailored to the specific requirements of the corporate group or organization.
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Stratum Benefits Corporate Essential Emergency/Accident Plan Frequently Asked Questions
What is the Corporate Essential Emergency/Accident Plan?
The Corporate Essential Emergency & Accident Plan is an insurance policy that provides cover for medical emergencies and accidents for corporate groups.
What benefits does the plan offer?
The plan offers immediate medical treatment, transportation, hospitalization, MRI or CT scans, physiotherapy or occupational therapy, ambulance transfers, and telephonic medical advice through ER24’s emergency contact center.
Who is eligible for the Corporate Essential Emergency/Accident Plan?
The plan is eligible for corporate groups or organizations.
How do I enroll in the plan?
Enrollment in the plan is typically done through the corporate group or the organization’s human resources department.
Are there minimum participation requirements for the plan?
Yes, the plan may have minimum participation requirements, depending on the corporate group or organization.
Is the plan customizable?
Yes, the plan can be customized to fit the corporate group or organization’s needs.
Are there different cover options available?
Yes, there may be different cover options depending on the corporate group or organization’s needs.
Does the plan cover pre-existing conditions?
No, the plan typically does not cover pre-existing conditions.
Are there any waiting periods for cover?
Yes, there may be waiting periods for cover, depending on the specific policy and corporate group or organization.
Is the Corporate Essential Emergency/Accident Plan tax-deductible?
In many cases, the plan’s premiums may be tax-deductible for the corporate group or organization.
