Client Application Form

 
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Underwritten by Constantia Insurance Company Limited (Managed by Ambledown Risk and Underwriting Managers (Pty) Ltd & Administered by Cura Administrators (Pty) Ltd)

Product Selection

Gap Basic Cover

Cura’s Gap Basic Cover includes Gap cover from 100% up to 500% Medical scheme tariff, co-payments or deductibles claimed by health service providers for treatment received whilst a covered member is an in-patient and a Casualty Benefit.

Per family or individual per month

Gap Standard Cover

This extends Cura’s Gap Basic Cover to include co-payments or deductibles claimed by health service providers for treatment received whilst a covered member is an in- or out-patient and is further enhanced to provide, Medical Scheme - Premium Waiver (Death or Total and Permanent Disability), Trauma Counselling and a Consumables benefit.

Per family or individual per month

Gap Advanced Cover

This extends Cura’s Gap Standard Cover to include the use of Non-DSP Hospital Co-Payment, Sub-limitation cover (whilst as an in-patient), Sub-Limitation on intra ocular lenses, Cancer Treatment (For the purpose of this policy outpatient treatment excludes specialist’s consultations), International Travel Insurance and Pathology and Radiology Benefits once savings and/or day-to-day has been depleted.

Per family or individual per month

Gap Ultimate Cover

In this flagship option, we cover members to the full extent of the Gap Advanced Cover with increased limits per person and further enhanced to provide, Lump sum cancer diagnosis benefit, International Travel Insurance, Cura Gap Ultimate Premium Waiver (Death or Total and Permanent Disability) and Accidental Death Benefit.

Per family or individual per month

Cura Cancer Cover

This policy will only be applicable to Members of a registered Medical Scheme and will be activated when the Insured Member is positively diagnosed with cancer which manifested itself during the period of cover.

  • R100 000 once-off on diagnosis of cancer
  • Oncology Treatment -R 173 000
  • Counseling -R 3 000 (R1000 Excess)
  • Exclusions: Excludes any skin cancer. Must be diagnosed whilst on cover and alive.
  • Last Entry Age 65 years
Per person per month

Cura Funeral Cover

Life Assured Plan

  Plan
Principal Member R 18 000
Spouse R 18 000
Child Aged 14-21 R 8 500
Child Aged 7-13 R 4 500
Child Aged 0-6 R 3 500
Stillbirth R 1 000
Double benefit in case of accidental death  
Last Entry Age 65 years
Per family or individual per month

Cura Life & Health

The benefits covered under the Life and Health Plan are:

  1. Emergency transport
  2. A stated amount per day in hospital OR
  3. A fixed amount for certain conditions / procedures
  4. A stated benefit within the theatre when under Anaesthesia
  5. A funeral benefit for the family.
Per family or individual per month

Broker Fee

Premium Fee

Entry Age Monthly Premium
64 or younger
65+

Current Health Insurance Product Details

Current Health Insurance
InsurerProductsPremium

The following with regard to an existing product will be regarded as a replacement:

  • an existing product is cancelled at an Insurer and a new product is taken at another Insurer with different benefits;
  • my newly chosen product replaces my existing product indicated in the products section of this application and the motivation for the new product.
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Get in touch

Tel: 010 021 0260
Fax: 086 500 7713
E-mail: mail@curaadmin.co.za

Physical Address

829 Rubenstein Drive
Moreletapark
0044
Pretoria
Gauteng

Get directions

We are an authorised financial services provider: FSP26848

About Us

At Cura we are ready to help you enhance your medical cover without leaving your chosen medical scheme. Enjoy the ultimate in medical cover for total peace of mind. Put the fears for excessive hospital cost shortfalls and unforeseen co-payments for medical services behind you.