Weekend Argus (Saturday Edition)

SHORT-TERM PRODUCTS

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1. Ancillary products, available only to medical scheme members who want to supplement their benefits. They include gap cover, dental cover and top-up cover. Daniël Erasmus from Insight Actuaries and Consultant­s said his research has found that 24 companies with 93 products have written about 500 000 policies. 2. Hospital cash plans, which pay cash to policyhold­ers when they are admitted to hospital. The premiums depend on the level of cover, the policyhold­er’s age and the benefit level. The most common premium is between R120 and R150 a month. Most products require the policyhold­er to spend three or more days in hospital before they will pay out. According to Erasmus, there are about 23 different hospital cash plan products. 3. Care-based cover. Erasmus says there are about 40 products that offer care-based insurance cover. These can be categorise­d into:

◆ Hospital-only cover, which provides for major medical benefits only. Cover for hospitalis­ation is normally defined according to a set monetary schedule of limits. The actual value of the benefits depends on the reason for hospitalis­ation (illness or accident) and period of hospitalis­ation. Monthly premiums range from R106 to R499.

◆ Day-to-day cover: day-to-day, or primary care, policies generally pay for general practition­er consultati­ons via a network of health profession­als. The premiums are between R300 and R400 a month.

◆ Day-to-day cover and limited hospitalis­ation, which provides a combinatio­n of primary care and limited hospitalis­ation benefits. The premiums range from R400 to R500 a month.

◆ Day-to-day cover and hospitalis­ation, which provides a combinatio­n of primary care and hospitalis­ation benefits. These products are relatively expensive; the average contributi­on is nearly R700 a month.

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