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National News Flash 4 of 2014: Commercial benefit update- RONBEL Gap Cover

COMMERCIAL BENEFIT UPDATE

RONBEL Gap Cover premium increases, benefit changes and new Gap products

NAPTOSA cares about the wellbeing of its members. NAPTOSA‘s partnership with RONBEL provides members with affordable medical Gap cover and other benefits. Members are urged to take note of the premium increases for Gap cover products, benefit changes and  new Gap products; namely Gap Shield, Gap shield Co-Pay, Gap Seniors and Gap plus Senior. These are all voluntary benefits available to NAPTOSA members.

CHANGES TO EXISTING GAP PRODUCTS:

Gap 150%, Gap 200% and Entry Level Gap automatically defaults to Gap. The premium increases to R120.00 per family per month (pfpm). Maximum age of entry increases to 70.

Gap Plus Level 1 and Gap plus Level 2 automatically defaults to Gap Plus. Benefits include gap cover, co- payment cover for in- hospital admissions and out- patient MRI and CT scans. The premium increases to R150 per family per month (pfpm). Maximum age of entry increases to 70.

Gap Plus Level 3 automatically defaults to Gap Plus Extended. The benefits remain the same. The premium increases to R165.00 per family per month (pfpm). Maximum age entry remains 65.

Gap Plus Level 4 automatically defaults to Gap Select. Benefits remain the same. The premium increases to R220.00 per family per month (pfpm). Maximum age entry remains 65.

-       There will be no premium increases, as of 1 January 2014, for the Funeral benefit, Medical Scheme Contribution Waiver and Hospital Excess cover.

-       Gap cover limitation has increased to R2, 000,000.00.

-       All Gap cover changes are effective from 1 January 2014.

 

NEW GAP PRODUCTS:

 

New Product

Benefit

Premium

Gap Shield

 Benefits include Gap cover, and cancer cover. There  is an additional cancer benefit whereby it covers the shortfall, either the co-payment after the sub-limitation or sub- limitation for cancer treatment  for traditional methods limited to R100 000.00 per insured person per annum. Maximum age entry remains 65.

R180.00 pfpm

Gap Shield Co- Payment

Benefits include Gap cover, cancer cover and co-payment cover for in-hospital admissions and out-patient MRI and CT scans. Maximum age entry remains 65.

R200.00 pfpm

Gap Seniors

Gap cover benefit. No maximum age of entry

R185.00 pfpm

Gap Plus Senior

Benefits include gap cover and co-payment cover for in- hospital admissions and out-patient MRI and CT scans. No maximum age of entry.

R225.00 pfpm

 

For more information go to http://www.memp.co.za/private/extranet/naptosa/ or contact RONBEL on 041 363 7333