If you or a dependant are 64 years of age or younger at the time of submitting your application your 2020 options are as follows:

1) Co-Evolution Plan

Individual Member Option – R266 per month

or

Family Option – R336 per month

This option covers Specialists in-hospital up to an additional 500%.

Plus

Co-payments cover limited to R50,000 per year.

2) Elite Plan

Individual member Option – R372 per month

or

Family Option – R450 per month

This covers the same benefits as Co-Evolution

Plus

Cancer Treatment Cover as follows:

 Breast Reconstruction РCovers you when you have a breast reconstruction done on an unaffected breast that your medical scheme excludes from cover, limited to one event of up to R30 000 per person per lifetime, subject to specific qualifying criteria.

Cancer Treatment Shortfalls  РFor treatment related to oncology co-payments and biological drugs where sub-limits are imposed by the medical scheme.

Cancer Treatment Top-Up – If your medical scheme imposes a maximum threshold for oncology and this is reached, we will cover the cost of your ongoing cancer treatment.

Plus

Sub-Limits benefit up to R30,000 per event to a maximum of R60,000 per person per year.

 

Important Notes:

If you select an Individual Member Option because you currently have no dependents to be covered it is your responsibility to advise us of any changes to your requirements.  For Example: engagement, marriage or childbirth. Failure to notify us of such changes would result in your dependents not being covered for any shortfalls.

If you have a dependent that is older than 65 years of age, the 65 and older pricing will apply.

2020 GetGap Application Form 64 and Younger