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Gap Cover: Legacy Series

Offering complete peace of mind, this is a comprehensive combination product
with multiple benefits built into one policy. It provides cancer benefits and significantly
enhances your Medical Scheme cover.

Monthly premium:

R323 per family for under 65yrs

R456 per family for 65yrs+

Overall Annual Limit (OAL) - R171 000 per insured per annum

Benefits

Please note: The products offered are not a medical scheme and the cover is not equivalent to that of a medical scheme. These products are not a substitute for a medical scheme membership but rather serve to cover the shortfall in your medical scheme. Learn more about gap cover.

In-Hospital Benefits

In-Hospital and Out-Of-Hospital Benefits

Out-Of-Hospital Benefits

Added Benefits

In-hospital dental cover

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Waiting Periods

    - A 3-month general waiting period applies to all benefits, with exception of benefits providing cover up to 600% should the commencement of the Policy be in line with the commencement date of the Medical Scheme.

    - A 10-month waiting period on pregnancy/childbirth

    - A 12-month waiting period on / investigations, treatment or surgery for: hysterectomy (except where malignancy can be proven), hysteroscopies, endometriosis, ovarian cysts and fibroids (myomectomy), muscular-skeletal (except in the event of a motor vehicle collision), tonsillectomy, myringotomy, grommets, adenoids, wisdom teeth, hernia, cataracts, gastroscopies, colonoscopies, cancer, nasal and sinus.

Waiting Period Concessions

We are excited to announce that we are extending the waiting period concessions, for both new business and existing policy transfers, to all applications received by us before 30 June 2021.

New business applications

  • a 10-month pregnancy and childbirth waiting period will apply
  • a 12-month waiting period on any cancer or muscular-skeletal related procedures

Existing policy Transfers

  • No waiting periods will apply on any benefits that are the same on both the Legacy Series policy and the policy being replaced
  • Any new benefits not found in the replaced policy will have the following waiting periods applied to them:
  • 1) a 10-month pregnancy and childbirth waiting period will apply
    2) a 12-month waiting period on any cancer or muscular-skeletal related procedures.

The CompliMed® Promise

CompliMed exists to make Gap Cover as affordable and accessible as possible to South African Medical Aid members.

We promise to help you prepare for your time of need by offering exceptional customer service and comprehensive Gap Cover products that are fairly priced, easy to sign up for and simple to claim from.

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Testimonials

I wish to thank Complimed for paying the estimated total shortfall of R 75000 I incurred during my last stay in hospital. It was very easy to submit claims and I always got a speedy response to all my queries. Thank you Complimed for your excellent service. I will continue to recommend you to my friends and family as I have been doing thus far.

-Thileshni Pather Nair

The recent birth of our son called for unexpected medical emergencies. CompliMed® far exceeded my expectations by taking away the stress of all our shortfalls with efficiency and excellent customer service.

- Duran Doorasamy

We’ve been with CompliMed® for over 10 years and can honestly say that our gap cover policy has paid out thousands of Rand’s in medical aid shortfalls that would have otherwise have been paid by us.

- Brian & Ros

My wife recently gave birth to our baby boy, and as such there were a lot of unexpected expenses that came along with it, which was charged above the medical aid rate, thankfully we have gap cover by Complimed, which assisted us in settling these extra expenses, the claims process was so easy and stress free, which was done online, all of our multiple claims were settled, within a matter of days.

- Luke & Azariah

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