Benefits
Medical Expense Shortfall Cover
Increases the Medical Aid rate up to 300%. Subject to the OAL
Co-Payment Cover
R5 000 per admission. Limited to 2 claims per family per annum. Subject to the OAL
Defined Procedures Excluded By Your Medical Scheme
Med-Extend will assist in paying for Defined Procedures that have been excluded by your Medical Scheme up to a specified rand value as listed below. Subject to the OAL.
Defined Procedures |
2023 |
Arthroscopic surgery |
R66 000 |
Back or neck surgery |
R66 000 |
Bunion surgery |
R18 000 |
Cochlear implant, auditory brain implant and internal nerve stimulator surgery |
R86 000 |
Dental procedures for impacted teeth for children younger than 18 years |
R18 000 |
Dental procedures for reconstructive surgery required due to an accidental event |
R86 000 |
Functional nasal surgery |
R28 000 |
Joint replacement surgery |
R56 000 |
Knee or shoulder surgery (excl joint replacements and arthroscopic surgery) |
R31 000 |
Non-Cancerous breast conditions |
R24 000 |
Oesophageal reflux and hiatus hernia surgery |
R61 000 |
Removal of varicose veins |
R24 000 |
Skin disorders (including benign growths and lipomas) |
R24 000 |
Endoscopic procedures |
R7 000 |
International Travel Cover
R5 million per insured (notification of travel required 48 hrs prior to departure)
Casualty Benefit – Accident and Illness
R3 500 per family per annum. The Casualty Benefit for Illness will be restricted to between the hours of 6pm – 6am Mondays to Fridays, Saturdays, Sundays and Public Holidays
MRI and CT Scan Cover
Covers the cost of MRI and CT scans when there is no benefit available to you on your Medical Scheme. Limited to R4 000 per event and 1 claim per family per annum. Subject to the OAL
Medical Expense Shortfall Cover
Increases the medical aid rate up to 300% for impacted wisdom teeth, orthognathic surgery, reconstructive maxillofacial surgery due to an accident (which occurred while on the Policy) and oral cancer (which was diagnosed while on the Policy). Subject to the OAL.
MedBoost
MedBoost provides a lump sum benefit pay-out when you need to undergo a Defined Procedure and have been claim free for a number of years. The MedBoost pay-out would depend on the number of consecutive claim free years you have had as per the table provided.
Number of claim free years |
MedBoost pay-out |
3 years |
R 3 000 |
4 years |
R4 000 |
5 years |
R5 000 |
5+ years |
R6 000 |
Additional Information
Waiting Periods
Click the button to review the Waiting Periods and Exceptions.
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