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Danielle

1 reviews | Active since Feb 2022

14 Feb 2022, 14:51

Fast and efficient responses

Fast and efficient responses. I would have given 5 stars if they were able to tell me upfront if they would be able to cover the full amount of my Co payment before hand.

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Replies (1)
Stratum Benefits (Pty) Ltd
Stratum Benefits (Pty) Ltd's reply15 Feb 2022, 16:34
Official
Hi Danielle  We’ll take 4 stars from you every day, but we can’t lie – Thank you so much!  We understand that clients would like to get this kind of confirmation beforehand, but if you consider that Gap Cover works on an “after the fact” basis then you’ll understand why we can’t pre-authorise.  Gap Cover picks up the shortfalls that exist when your medical aid covers the cost of a medical event up to the medical aid rate, but your healthcare or service provider charges more than what the medical aid pays. We can only assess those shortfalls when we can see what was charged and what was paid.  It’s the same with co-payments. We can’t pre-authorise a co-payment when the medical event hasn’t occurred yet, but we’ll gladly refund the co-payment amount once your claim is assessed and our qualifying criteria are met.  We’re your “after the fact” but your “every step of the way” Gap Cover provider.  Now… how generous are you feeling? 😉  Best regards,  The Stratum Benefits Team