42765VC_employee_handbook_update_2018_r2
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
MEDICAL AID GAP COVER<br />
KEEPING YOU<br />
HEALTHY<br />
al<br />
aid scheme as provided through ADvTECH.<br />
The available scheme is Discovery Health.<br />
Details on this scheme are available from<br />
your HR Department.<br />
Please note that you will be liable for the<br />
full amount of your contribution. Your<br />
income will also be reduced by this amount<br />
before tax is calculated and deducted.<br />
Need advice on your Discovery<br />
Health Plan?<br />
NMG Consultants and Actuaries are here<br />
to assist and advise you accordingly. To<br />
get in touch with the NMG Consultant<br />
for your region, please speak to your HR<br />
Department.<br />
FILLING THE GAP<br />
NMG has secured a partnership with<br />
Stratum<br />
for ADvTECH. Gap Cover is a way<br />
in which medical scheme members can<br />
avoid being left with payment shortfalls<br />
or gaps. This is an optional cover for<br />
ADvTECH <strong>employee</strong>s that compliments<br />
their medical aid. To apply for this Gap<br />
Cover you do not needed to be<br />
on Discovery<br />
through ADvTECH, you may also apply for<br />
this cover if you belong to other medical<br />
aids recognised by Stratum.<br />
This product is designed to ‘fill the gap’<br />
between what is charged by your service<br />
provider for in-hospital procedures and<br />
what is covered by your medical aid.<br />
The actual benefit paid is subjected to a<br />
maximum as set out in the policy. Should<br />
your service provider charge in excess<br />
of this, then you would still be liable to<br />
cover this additional amount yourself. It is<br />
important to note that your Stratum Gap<br />
Cover policy<br />
willl reimburse you direct<br />
ly<br />
and not the<br />
service provider concerned. It<br />
therefore still remains your responsibility<br />
to settle with the<br />
service provider. Ple<br />
ase<br />
note that the Gap<br />
cover contributions willl<br />
be deducted from<br />
the <strong>employee</strong>s salara y<br />
through the ADvT<br />
TECH payroll.<br />
This is a very brief overview view of what the<br />
Gap Cover policy entails. Should you want<br />
a more detailed and concise description,<br />
please speak to your HR Department so<br />
that they can put you in touch with the<br />
relevant NMG Consultant.<br />
NB: Underwriting and waiting periods may apply<br />
dependent on the time frame of joining the GAP<br />
cover – please speak to an NMG consultant for<br />
more details on this.
Change language