Day to Day Benefits


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Hospital Plan


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Comprehensive Cover


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Unlimited Managed Doctor Visits
Unlimited managed doctor visits via a registered 1Doctor Health Network Provider. Pre-authorisation required after 5th annual visit and a co-payment of R75.00 will apply per visit.
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.
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.
Basic Dentistry
Basic treatment includes preventative cleaning, pain control, fillings, emergency root canal and extractions via 1Doctor Health Network Dentist.
Optometry (Spec-Savers)
One eye test every 12 months and one set of glasses every 2 years with grey colour value code via Spec-Savers stores. 12 month waiting period applies.
Basic radiology via 1Doctor Network Provider. Black and white diagnostic x-rays only.
Diagnostic blood tests on referral by a 1Doctor Network GP and subject to a list of basic pathology tests approved by Day1 Health.
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
General Waiting Period: 1 month from inception of Contract
*Benefits may vary according to plan option


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 > 0yrs R2 500. Child > 28 wks R1 250. 90 day waiting period applies.
In-hospital Illness Benefit
Up to R6 500 for the 1st day, up to R4 500 for the 2nd day & up to R4 500 for the 3rd day – thereafter R1 500 per day up to a maximum of 21 days.
Illness Top-up Benefit
An additional illness protection benefit payable up to R25 000 for a single member and up to R40 000 for a family.
Dread Disease Benefit
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 Lion of Africa Life Assurance Company Limited
General Waiting Period: 3 months from inception of Policy

*Benefits may vary according to plan option

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