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When your medical aid won't pay, Medway's Maximiser covers the gaps and more

Even the most expensive medical aid schemes have significant gaps in the cover they offer. Medway's Maximiser fills those gaps so you’re not left to pick up the pieces.

Our gap and supplementary health insurance product, Maximiser, delivers an affordable solution designed to cover specific gaps and maximise your overall health and domestic insurance spend.

MEDWAY'S MAXIMISER INCLUDES THE FOLLOWING: R549 per month

With our in-depth knowledge of medical aid packages and schemes, we have identified key areas where members are likely to be at risk of insufficient cover:

TOP OF THE RANGE GAP COVER

Medway's GapPremium is a top of the range gap product which accommodates financial shortfalls between the amount charged and the cost base that the Medical Scheme will cover, including co-payments and benefit limits.

ACCESS TO THE LATEST CANCER TREATMENTS

BiologiCare pays out R100 000 on diagnosis of cancer and up to R900 000 where biological treatment is appropriate, and where your Medical Scheme cover is insufficient and/or limited, for the treatment duration of up to five years.

CASUALTY WARD COVER FOR ACCIDENTAL INJURY

R10 000 reimbursement of casualty ward expenses in the event of an accident.

Add the following innovative products for additional benefits:

AngelCover R149 per month

Covers up to 4 of your children for up to R250 000 for the treatment of chronic conditions and dread diseases.

DomestiCover R250 per month

Comprehensive health and funeral insurance cover for your domestic worker, including death, disability, accidental injury cover and income protection.

BENEFITS IN MORE DETAIL

The following pages summarise each product offering as outlined in this brochure. For full details, please refer to the policy document wordings.

MEDWAY MAXIMISER

GapPremium

  • Gap500 – complements your medical aid by enhancing the cover for specialist charges relating to in-hospital procedures to as much as 500%;
    - also covers out-patient costs for chemotherapy, radiotherapy and kidney dialysis;
    - also covers certain medical procedures performed in doctors rooms.
  • Self-payment cover – reimbursement in instances where your Medical Scheme has imposed a levy or deductible on specific procedures, including MRI and CT scans.
  • Sub-limit cover – extended cover for in-hospital sub-limits up to a maximum of R30 000 above the sub-limits imposed by your Medical Scheme on certain procedures.
  • Accidental Injury – reimbursement of up to R10 000 for in-hospital or casualty ward expenses incurred as a result of accidental injury. This benefit also includes a R10 000 payout for accidental death.

BiologiCare

  • An upfront cash benefit of R100 000 payable on diagnosis of cancer and paid once per lifetime per family member.
  • A top up benefit of up to R900 000 payable over a maximum period of 5 years, payable for each new unrelated diagnosis per family member that may require biological drugs, where your Medical Scheme cover is insufficient.

ADDITIONAL PRODUCTS AVAILABLE FROM MEDWAY

AngelCover

Specifically designed to ensure that, in the unfortunate event of your child being diagnosed with a dread disease, the significant financial burden is removed or at least dramatically lessened.

  • Pays out a lump sum of R250 000 on the diagnosis of a dread disease;
  • The policy covers up to four children, all of which must be direct dependents;
  • The conditions covered include cancer; heart attack; stroke; coronary artery bypass graft; aorta graft surgery; major organ transplants; kidney failure; multiple sclerosis; blindness; deafness; heart valve replacement or repair; paralysis or paraplegia; third degree burns; HIV/AIDS (needle-stick injury only).

DomestiCover

Designed to provide financial peace of mind and security for your domestic worker, an integral member of your household.
This substantial benefit offering, at a very affordable premium, reduces the burden of responsibility on you, the employer, in the event of either accident or illness.

  • A Funeral benefit of R15 000 per principal insured and spouse, R6 000 per eligible child up to the age of 21 and:
    - An additional R5 000 in the event of the accidental death of either the principal insured or the spouse;
    - 4 days free car hire in the event of the death of either the principal or the spouse;
    - Repatriation of Mortal Remains benefit up to a value of R5 000;
    - No waiting period in the event of accidental death. However, a waiting period of 6 months for death by natural causes; 12 months when resulting from a pre-existing condition and 24 months in respect of death from any HIV related cause, will apply.
  • An Accidental Injury In-Hospital benefit:
    - Provides cover of up to R50 000 per family per annum for in-hospital costs incurred as a result of an accident and;
    - ER24 on-site stabilisation and emergency evacuation by either road or air.
  • An Accidental Injury Casualty Ward benefit:
    - Provides up to R10 000 as a family benefit per annum to cover casualty ward expenses incurred as a result of an accident.
  • An Income Protector benefit:
    - Provides a cash payout of R1 000 per week to you, the employer, in the event that your employee is absent from work as a result of either an accident or illness;
    - The cover is payable for a maximum period of 52 weeks, but is subject to a 1 week waiting period in respect of an accident and 4 weeks in respect of illness.
  • A Disability benefit:
    - Provides a cash payout up to a maximum of R50 000 in the event of total permanent disability;
    - The minimum payout applicable will be R25 000 and all payouts will be subject to the Benefit Schedule which will accompany the policy schedule.

This is a summary of policy benefits. For complete terms and conditions, please refer to the policy wordings. In all cases the policy wordings will prevail.