The Benefit Extender was designed to assist with additional benefits (over and above the core benefits) for certain medical events, resulting in additional non-medical expenses that will not be covered by your Medical Scheme. These benefits can be used at your own discretion.
- Family Booster
- Up to a maximum compensation limit of R15 000 for premature birth more than 41 days before due date.
- Dental Reconstruction Benefit
- Up to a maximum compensation limit of R40 000 per policy, per annum if a beneficiary requires dental reconstruction as a result of trauma or oncology treatment.
- Medical Scheme Contribution Waiver
- Up to a maximum of 6 months (R30 000) compensation for Medical Scheme contributions over the policy lifetime upon death or permanent disability of the principal member of the Medical Scheme if they are also the policyholder of this gap policy and where all the beneficiaries are linked to a single Medical Scheme.
- Step-down Facility Benefit
- Up to a maximum lump sum of R5 000
- payable in the event that the principal member on the Medical Scheme, who is also the principal member on the iWYZE Gap Cover policy, spends a minimum of 10 consecutive days in a step-down or sub-acute facility.
- Limited to one event per policy, per annum.
- Subject to the overall annual limit.
MAXIMUM COMPENSATION FOR ALL GAP COVER BENEFITS*
The total maximum Compensation Limit payable for all Core Benefits and Benefit Extender will be limited to R204 500 (two hundred and four thousand and five hundred rand) per family member, per annum.
- Includes cover for principal member and six dependants.
* Cover benefits, limits and maximum compensation limit applicable from 1 January 2024.
Terms & Conditions apply.
IMPORTANT TO NOTE:
- During the first 12 months of membership, a pre-existing condition waiting period applies.
- During the first 3 months of membership, a general waiting period applies.
- During the first 12 months of membership, a pregnancy waiting period applies.
Please note the 3 months general waiting period, 12 months pre-existing condition waiting period and 12 months pregnancy waiting period apply to an insured person from the time that such person's cover commences under the policy (to run concurrently if two or more waiting periods are applicable to an insured family member).
