APPROVED & ACCREDITED

by the Council For Medical Schemes (CMS) – Full Demarcation Exemption granted – Conditions Apply

AFFORDABLE & PRACTICAL

Medical health insurance benefits for people not on conventional medical aid

COSTEFFECTIVE

health insurance solutions & easy access to private healthcare facilities

HEALTHYLIFESTYLES

Should be rewarded with medical cover

AFFORDABLEFAMILY OPTIONS

to cover your families medical needs

HOSPITALCOVER

At the most affordable rates

FOCUSYOUR ENERGY

On living a healthy lifestyle

HOSPITALPLANS

from as little as R352 per month

EFFECTIVECOVER

day to day benefits and hospital plan

insurance stated benefit

  • Day to Day Benefits

    STARTING FROM R265 PER MONTH!

  • Hospital Plan

    STARTING FROM R380 PER MONTH!

  • Comprehensive Cover

    STARTING FROM R645 PER MONTH!

  • Our Network

    BROWSE OUR NETWORK OF GP'S AND DENTISTS



*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

  • 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.

  • 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, emergency root canal and extractions via 1Doctor Health Network Dentist. A 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.

  • Day to Day Benefits via 1Doctor Health Provider Network

    *Benefits may vary according to plan option

HOSPITAL PLAN BENEFITS INCLUDING
  • 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.

  • 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.

  • 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 Life Limited

    General Waiting Period: 3 months from inception of Policy

    *Benefits may vary according to plan option

Copyright 2015 Day1 Health (Pty) Ltd | All Rights Reserved
Day1 Health (Pty) Ltd is an authorised Financial Services Provider. FSP No: 11319
Hospital Plan Underwritten by African Unity Life Limited (FSP 8447)