Turnberry gap cover – 2017

I have had requests to publish something on the changes to Turnberry Gap Cover for 2017

Turnberry have partnered with Lombard Insurance Company from 1st of July 2016. They have shortened and renamed some of their product offerings in line with this move.


“Execu-Care” plan – renamed “Premier” plan.

  • The rate has increased from R298 per family per month to R310 per family per month.
  • Exciting new benefits have been added and substantial benefit enhancements have been made.

 

  • The plan now includes:
  • Benefits for IN-HOSPITAL treatment: Increases the medical aid rate up to 500%; co- payment cover– R50 000 per admission per insured, Unlimited admissions.; Non-DSP Hospital Penalty CoverR8 500 per admission. Limited to 1 claim per family per annum (nice); Sub-limit Cover– R20 000 per admission per insured, Unlimited admissions.; Stated Cash Back Benefit– Payable after 72 hours.
  • Benefits for IN-HOSPITAL and OUT-OF-HOSPITAL treatment: Cancer Diagnosis Benefit- Once off payment of R20 000 for first diagnosis of cancer, provided that the member is on an approved oncology treatment plan; Traditional Cancer Cover- R350 000 per insured per annum (R200 000 excess); Biological Cancer Drug Cover – R350 000 per insured and R1 000 000 per family per annum.; Medical Scheme Contribution Waiver- R5 000 per month for 6 months, covers death or permanent and total disability (due to an accident), of the medical scheme contribution payer; Personal Accident Benefit- R20 000 per insured on the policy, covers death or permanent and total disability; Travel Cover- R5 000 000 per insured.
  • Benefits for OUT-OF-HOSPITAL treatment: Co-payment cover for MRI, CT and PET scans- R50 000 per admission per insured. Unlimited admissions; Sub-limit Cover for MRI, CT and PET scans- R20 000 per admission per insured. Unlimited admissions;  Casualty Benefit (Accidents only)- R7 500 per event per insured. Unlimited events.

“Extend- A- Care” plan – renamed “Enhance” plan

  • The premium has increased from R229 per family per month to R252 per family per month.
  • Benefits have been significantly enhanced.

 

  • The plan now includes:
  • Benefits for IN-HOSPITAL treatment: Increases the medical aid rate up to 500%; Co-payment Cover- R50 000 per admission per insured. Unlimited admissions; Sub-limit Cover- R20 000 per admission per insured. Unlimited admissions.
  • Benefits for IN-HOSPITAL and OUT-OF-HOSPITAL treatment: Cancer Diagnosis Benefit- Once off payment of R20 000 for first diagnosis of cancer, provided that the member is on an approved oncology treatment plan; Personal Accident Benefit- R20 000 per insured on the policy, covers death or permanent and total disability; Travel Cover- R5 000 000 per insured.
  • Benefits for OUT-OF-HOSPITAL treatment: Co-payment cover for MRI, CT and PET scans- R50 000 per admission per insured. Unlimited admissions; Sub-limit Cover for MRI, CT and PET scans- R20 000 per admission per insured. Unlimited admissions; Casualty Benefit (Accidents only)- R7 500 per event per insured.Unlimited events.

“Procancer Care Plus” plan – been renamed “Optimal” Plan

  • The premium has increased from R212 per family per month to R233 per family per month.
  • The cancer benefits have been significantly improved and a sub-limit benefit for internal prosthesis has been added.

 

  • The plan now includes:
  • Benefits for IN- HOSPITAL treatment: Increases the medical aid rate up to 500%; Co-payment Cover- R20 000 per admission per insured. Unlimited admissions. Sub-limit Cover- R10 000 per admission per insured. Limited to R50 000 per family per annum.
  • Benefits for IN-HOSPITAL and OUT-OF-HOSPITAL treatment: Traditional Cancer Cover- Co- payment cover for traditional cancer treatment limited to 20% per admission and R250 000 per insured per annum (R200 000 excess); Biological Cancer Drug Cover- R200 000 per insured per annum (R200 000 excess); Travel Cover- R5 000 000 per insured.
  • Benefits for OUT- OF- HOSPITAL treatment: Co-payment cover for MRI, CT and PET scans- R20 000 per admission per insured. Unlimited admissions; Casualty Benefit (Accidents only)- R6 000 per event per insured. Unlimited events.

“ProSelect Care” plan – renamed to “Synergy” plan.

  • The premium has increased from R165 per family per month to R178 per family per month.
  • A sub-limit benefit for internal prosthesis has been added and benefits have been increased.

 

  • The plan now includes:
  • Benefits for IN-HOSPITAL treatment: Increases the medical aid rate up to 500%; Co-payment Cover- R20 000 per admission per insured. Unlimited admissions; Sub-limit Cover for Internal Prosthesis- R10 000 per admission per insured. Limited to R50 000 per family per annum.
  • Benefits for IN- HOSPITAL and OUT-OF-HOSPITAL treatment: Travel Cover- R5 000 000 per insured.
  • Benefits for OUT-OF-HOSPITAL treatment: Co-payment cover for MRI, CT and PET scans- R20 000 per admission per insured. Unlimited admissions. Casualty Benefit (Accidents only)- R6 000 per event per insured. Unlimited events.

 “Procare” plan- renamed to “Vital” plan

  • The premium has increased from R149 per family per month to R167 per family per month.
  • A casualty benefit for treatment as a result of an accident has been added.

 

  • The plan now includes:
  • Benefits for IN- HOSPITAL treatment: Increases the medical aid rate up to 500%.
  • Benefits for IN-HOSPITAL and OUT-OF-HOSPITAL treatment: Travel Cover- R5 000 000 per insured.

 

  • Benefits for OUT-OF-HOSPITAL treatment: Casualty Benefit (Accidents only)- R6 000 per event per insured. Unlimited events.

 

 “Proselect Care Senior” plan – renamed to “Senior” plan

  • Premium increased from R230 per family per month to R255 per family per month.
  • A Senior product that offers more value for money.

 

  • The plan now includes:
  • Benefits for IN-HOSPITAL treatment: Increases the medical aid rate up to 500%; Co-payment Cover- R15 000 per admission per insured. Unlimited admissions;  Sub-limit Cover- R15 000 per admission per insured. Limited to R50 000 per family per annum.
  • Benefits for IN- HOSPITAL and OUT- OF- HOSPITAL treatment: Travel Cover – R5 000 000 per insured.
  • Benefits for OUT-OF-HOSPITAL treatment: Co-payment cover for MRI, CT and PET scans- R15 000 per admission per insured. Unlimited admissions.

You may add extended family that you may have on your medical aid and not covered by Turnberry’s definition of a family. This will cost you an additional premium.

If you would like to access this or enquire about Turnberry products, please use the contact form below.

Turnberry gap cover – 2017 was last modified: February 14th, 2017 by Kenny Williamson

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