Day to Day Benefits

STARTING FROM R240 PER MONTH!

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Hospital Plan

STARTING FROM R352 PER MONTH!

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Comprehensive Cover

STARTING FROM R592 PER MONTH!

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*Please note that a co-payment of R75.00 will apply after your 5th GP visit as from 01 January 2016.

*DAY TO DAY BENEFITS INCLUDING

Unlimited Managed Doctor Visits
Via a registered 1Doctor Health Network Provider. A co-payment of R75.00 will apply for all additional visits after the 5th visit. 1 Month waiting period applies.
Acute & Chronic Medication
Both acute and chronic medication are covered according to the 1Doctor Health formulary. A 6 month waiting period applies on chronic medication and 12 months on pre-existing conditions.
A 12 month waiting period applies for persons aged 65 and over.
Radiology
Basic radiology according to the 1Doctor Health formulary via a 1Doctor Health Network GP. Black and white diagnostic x-rays only. 1 Month waiting period applies.
Pathology
Diagnostic blood tests on referral by a 1Doctor Health Network GP and subject to a list of basic pathology tests approved by Day1 Health. 1 Month waiting period applies.
Basic Dentistry
Basic treatment includes preventative cleaning, pain control, fillings, one emergency root canal and extractions via 1Doctor Health Network Dentist. 6 month waiting period applies.
Optometry (Spec-Savers)
One eye test and one set of glasses every 24 months per the specific Spec-Savers agreed protocol range. A 12 month waiting period applies.
Out-of-Area Visits
In the event that you cannot see your Network GP, the Plan will allow 3 ‘out of area’ visits per family per annum to an alternative Network GP or a GP of your choice.
Family Specialist Benefit
Specialist Benefit of up to R500 per family per annum. Pre-authorisation and a referral by a 1Doctor Network GP is required. 6 month waiting period applies.
Day to Day Benefits via 1Doctor Health Provider Network

*Benefits may vary according to plan option

*HOSPITAL PLAN BENEFITS INCLUDING

Accident Benefit
Up to R150 000 per single member and up to R300 000 per family per incident. Immediate cover.
Accident / Illness Death Benefit
R10 000 for the Principal Member.
Accidental Permanent Disability Benefit
R250 000 for the Principal Member only. Single event only. Immediate cover.
Family Funeral Benefit
Principal, Spouse & Child > 14 yrs R10 000. Child > 6 yrs R5 000. Child > 0 yrs R2 500. Child > 28 wks R1 250.
In-hospital Illness Benefit
Covers up to R10 000 for the first day in hospital, up to R10 000 for the second day in hospital, up to R10 000 for the third day in hospital. Thereafter R1 500 per day up to a maximum of 21 days. 24 months pre-existing condition exclusion applies.
Dread Disease Benefit
1 Incident per family per annum

Dread Disease up to R250,000, however the benefit is limited to R50,000 unless the insured person accedes to a short medical examination (at their own cost) to be arranged by Day1 Health.
24 Hour Emergency Services & Pre-Authorisation (0861 144 144)
24 Hour Emergency Services, Medical Assistance and Pre-Authorisation provided by ER24. Guaranteed hospital admission.
Hospital Plan underwritten by African Unity Insurance Limited
General Waiting Period: 3 months from inception of Policy

*Benefits may vary according to plan option