The Metropolitan Healthcare Cashback Cover is a hospital plan designed to provide financial relief during unexpected hospital stays. This plan offers cash benefits to supplement income lost due to hospitalization, ensuring that policyholders and their families can manage additional expenses incurred during such times.
What is Metropolitan Healthcare Cashback Cover?
The Metropolitan Healthcare Cashback Cover is not a replacement for medical aid, nor is it a medical gap cover. Instead, it offers cash benefits for expenses resulting from a hospital stay or inability to work. This cover can extend to a policyholder’s spouse, children, and extended family members, providing a daily cash benefit for each full day spent in the hospital.
Key Features
- Daily Cash Benefit: Up to R3,000 per day for a maximum of 120 days.
- Intensive Care Unit (ICU) Benefit: Double the daily cash benefit for days spent in ICU.
- Family Inclusion: Cover for immediate and extended family members.
- Cashback Benefits: Loyalty and no-claim bonuses.
Built-in Benefits
For Policyholder and Immediate Family
The policy provides comprehensive coverage for the main member, children, and spouse:
- Daily Cash Benefit: Up to R3,000 per day for up to 120 days.
- ICU Benefit: Double the daily cash benefit for ICU stays.
- Medical Advice: 24/7 access to medical advice and consultations.
- Cashback Benefit: 10 times the daily benefit amount as a no-claims bonus after three years of claim-free coverage.
For Parents
Coverage extends to up to four parents, including parents-in-law:
- Daily Cash Benefit: Up to R400 per day for up to 120 days.
- ICU Benefit: Double the daily benefit for ICU stays.
- Loyalty Bonus: Rewards for paying premiums even after making claims.
- No-claim Bonus: 10 times the daily benefit amount after three years of claim-free coverage.
Add-on Benefits
Policyholders can enhance their coverage with optional add-ons, available at an additional cost:
For Policyholder and Immediate Family
- Accident Benefit: R50,000 for the policyholder or their life partner in case of death or permanent disability due to an accident.
- Funeral Benefit: Up to R10,000 per insured life for up to six immediate family members.
- Premium Waiver Benefit: Waives premiums if the policyholder dies before the age of 65.
For Parents
- Funeral Benefit: Up to R50,000 per parent.
- Paid-up Premium: Covers premiums for insured parents for the rest of their lives if the policyholder opts for this benefit before age 65.
- Inflation Management: Automatically adjusts daily cash benefits to keep up with inflation.
For Extended Family
- Funeral Benefit: Covers up to six extended family members for up to R10,000 each.
- Inflation Management: Adjusts premiums and coverage annually to match inflation rates.
Advantages of Metropolitan Healthcare Cashback Cover
- Comprehensive Coverage: Up to R3,000 daily cash benefit for hospital stays.
- ICU Coverage: Double the daily benefit for ICU stays.
- Inflation Adjustment: Coverage and premiums adjust automatically to keep up with inflation.
- Cashback Benefits: Rewards for claim-free periods.
- Flexibility: Benefits can be used as needed by the beneficiary.
Disadvantages of Metropolitan Healthcare Cashback Cover
- No Disability Benefit: The plan does not provide a benefit for permanent disability that waives premiums.
Conclusion
The Metropolitan Healthcare Cashback Cover is a robust plan designed to provide financial support during unexpected hospital stays. With benefits that cover daily cash payouts, ICU stays, and options for including immediate and extended family members, this plan offers comprehensive support. Cashback benefits and add-ons further enhance the coverage, making it a valuable safety net for policyholders and their families.
Policy Features Overview
| Feature | Description |
|---|---|
| Daily Cash Benefit | Up to R3,000 per day for a maximum of 120 days |
| ICU Benefit | Double the daily cash benefit for ICU stays |
| Family Coverage | Includes immediate and extended family members |
| Accident Benefit | R50,000 for policyholder or life partner in case of accident-related death or disability |
| Funeral Benefit | Up to R10,000 per insured life |
| Premium Waiver Benefit | Waives premiums if the policyholder dies before age 65 |
| Inflation Management | Automatically adjusts coverage and premiums annually |
| Cashback Benefits | Loyalty and no-claim bonuses |
| Medical Advice Access | 24/7 access to medical advice and consultations |
Add-ons
| Add-on Feature | Description |
|---|---|
| Accident Benefit | Additional R50,000 coverage for accidents |
| Funeral Benefit | Up to R10,000 per insured life for up to six family members |
| Premium Waiver Benefit | Covers premiums if policyholder dies before age 65 |
| Inflation Management | Adjusts daily cash benefits and premiums to match inflation |
FAQs
What does the Metropolitan Healthcare Cashback Cover include?
The plan includes daily cash benefits for hospital stays, ICU benefits, family coverage, and optional add-ons such as accident and funeral benefits.
How does the cashback benefit work?
Policyholders receive a loyalty bonus and a no-claim bonus every three years, equal to 10 times the daily benefit amount, provided premiums are paid and no claims are made.
Can extended family members be covered?
Yes, up to six extended family members can be included under the funeral cover add-on.
What is the maximum daily cash benefit?
The maximum daily cash benefit is R3,000 per day, with double the amount for ICU stays, for a maximum of 120 days.
How can I apply for the Metropolitan Healthcare Cashback Cover?
Contact a Metropolitan financial adviser or broker, call 0860 724 724, visit a local Metropolitan office, or explore more on the Metropolitan website.
For a secure future and comprehensive hospital coverage, the Metropolitan Healthcare Cashback Cover is a prudent choice for individuals and families.
