Medical Cover

Personal health protection products help lower your risk of being burdened by expenses for preventive care or medical bills as a result of an illness or accident. While Medical Aid plans provide coverage for many health expenses, there are also gaps that can have a significant impact on your finances. We offer a range of medical aid plans and gap cover products to suite your needs.

 

DISCOVERY HEALTH 

      • KEYCARE SERIES: Affordable medical cover if you’re willing to use providers in a specified network for both in-hospital and out-of-hospital treatment.

      • SMART SERIES: The most cost-effective in-hospital cover, essential chronic medicine cover plus limited day-to-day cover if you’re willing to use providers in a specified network.

      • CORE SERIES: Value-for-money hospital plan that provides unlimited private hospital cover and essential cover for chronic medicine with no day-to-day cover.

      • SAVER SERIES: The most economical in-hospital cover, essential chronic medicine cover and day-to-day benefits through a Medical Savings Account.

      • PRIORITY SERIES: Cost-effective in-hospital cover, essential chronic medicine cover and day-to-day benefits with a limited Above Threshold Benefit.

      • COMPREHENSIVE SERIES: Comprehensive cover for in-hospital and day-to-day cover with extended chronic medicine cover and an unlimited Above Threshold Benefit.

      • EXECUTIVE PLAN: The Executive Plan offers you the most extensive cover for in-hospital and day-to-day benefits with extended chronic medicine cover and an unlimited Above Threshold Benefit.

    MOMENTUM HEALTH 

        • INGWE OPTION: The Ingwe Option provides affordable access to entry-level cover. You have cover for hospitalisation up to R1 190 000 for your family per year. For your hospitalisation cover, you can choose to use either Any hospital, the Ingwe Network of private hospitals, or State hospitals for an even lower monthly contribution.

        • CUSTOM OPTION: The Custom Option provides cover for hospitalisation in private hospitals. There is no overall annual limit for hospitalisation. You can choose to have access to any hospital, or you can choose to receive a discount on your contribution by selecting to use a specific list of private hospitals (referred to as Associated hospitals).

        • INCENTIVE OPTION: The Incentive Option provides cover for hospitalisation in private hospitals. There is no overall annual limit for hospitalisation. You can choose to have access to any hospital, or you can choose to receive a discount on your contribution by selecting to use a specific list of private hospitals (referred to as Associated hospitals).

        • EXTENDER OPTION: The Extender Option provides cover for hospitalisation in private hospitals. There is no overall annual limit for hospitalisation. You can choose to have access to any hospital, or you can choose to receive a discount on your contribution by selecting to use a specific list of private hospitals (referred to as Associated hospitals). For chronic treatment, you can choose to have access to any doctor for your chronic scripts and any pharmacy for your chronic medication. Or you can choose to receive a further discount on your monthly contribution by selecting to use a list of Associated doctors for your chronic script and Medipost courier pharmacy for your chronic medication. Alternatively, you can choose to use State facilities for your chronic script and chronic medication to obtain the maximum contribution discount.

        • SUMMIT OPTION: The Summit Option provides cover for hospitalisation at any private hospital. There is no overall annual limit for hospitalisation. Extensive day-to-day and chronic benefits are available from any provider. If you need more day-to-day cover, you can make use of the HealthSaver. HealthSaver is a complementary product offered by Momentum that lets you save for medical expenses.

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        STRATEM GAP COVER

        Are you seeking a way to safeguard yourself and your loved ones from unforeseen healthcare costs?

        For those enrolled in medical aid schemes, it’s common knowledge that not all medical expenses are fully covered. This is where Gap Cover insurance becomes essential. It bridges the financial gap between the actual fees charged by healthcare providers for medical services and the amount your medical aid contributes.

        Stratem’s range of Gap Cover plans is designed to be both comprehensive and budget-friendly, tailored to meet a variety of healthcare needs.

        Opt for Gap Cover to shield yourself from out-of-pocket expenses related to medical and dental procedures, childbirth, cancer treatments, and more.