Aquilla Financial Solutions cc

 Aquilla Financial Solutions cc (FSP 38139) 

AFS Reso-u Combined Cover Policy 500

Premium

R170.00

GAP Cover

Component:

The Gap Cover component will cover the difference between your Medical Scheme Rate and private rates charged by a Registered Medical Professional for in-hospital treatment. Gap Cover will settle up to a total of 500% of your Medical Scheme Rate with no annual limit. 

CoPay Cover /

Admission Fee

Component:

The CoPay / Admission Fee component will cover your co-payments for procedures performed, as an in-patient as well as an out-patient.

 This includes MRI, CT and Ultrasound scans. In addition, cover is  provided for the admission fees payable to a hospital as imposed in terms of your Medical Scheme rules.

 An incident limit of R12,500.00 will apply per claim. This means that your co-payment / admission fee will be covered, up to a maximum amount of R12,500.00 per insured per incident.

 Utilisation per beneficiary is limited to no more than three claims per annum and an overall annual limit of R100,000.00 per family.

Out-Patient Cover Component:

The Out-Patient Cover Component will cover the difference between your Medical Scheme Rate and private rates charged by a Registered Medical Professional, for any out-patient surgical procedure that would normally be performed as an in-patient.

 An incident limit of R3,500.00 will apply per claim. This means that your specified out-patient treatment will be covered, up to a maximum amount of R3,500.00 per insured per incident.

 Utilisation per beneficiary is limited to no more than three claims per annum and an overall annual limit of R15,000.00 per family.

 Please refer to the policy wording for the list of covered out-patient treatment.

Underwriters

Underwritten by Resolution Underwriters (Pty) Ltd (FSP: 4710) under contract from Resolution Insurance Company Limited and distributed by Aquilla Financial Solutions cc (FSP: 38139)

Information

This is NOT a medical aid, but a stated benefit policy in terms of the Short Term Insurance Act 53 of 1998.

This communique is for information purposes only and does not replace the policy terms. Product specific exclusions apply.

Standard 3 month waiting period. Pre-existing conditions may be excluded for a minimum period of 12 months.

A stated benefit is paid straight into your bank account.

Who to contact

Wynand Louw

Tel: 012 348 0149    Cell: 083 676 0451

Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it