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 R529 PER MONTH!

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*DAY TO DAY BENEFITS INCLUDING

Unlimited Managed Doctor Visits
Unlimited managed doctor visits via a registered 1Doctor Health Network Provider. Pre-authorisation required after 5th annual visit.
Family Specialist Benefit
Specialist Benefit of up to R1000 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.
Radiology
Basic radiology via 1Doctor Network Provider. Black and white diagnostic x-rays only.
Pathology
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

*HOSPITAL PLAN BENEFITS INCLUDING

Accident Benefit
Up to R250 000 per single member and up to R500 000 per family per incident. Immediate cover.
Accident / Illness Death Benefit
R20 000 for the Principal Member.
Accidental Permanent Disability Benefit
R250 000 for the Principal Member only. Single event only. Immediate cover.
Accidental Exposure to HIV / AIDS
Two incidents per family per annum.
In-hospital Illness Benefit
Up to R10,000 for the 1st day, up to R10,000 for the 2nd day & up to R10,000 for the 3rd day – thereafter R2000 per day up to a maximum of 21 days.
Illness Top-up Benefit (T&c’s Apply)
An additional illness protection benefit payable up to R25 000 for a single member and up to R50 000 for a family.
Dread Disease Benefit
Upon diagnosis with an annual limit of up to R500 000 payable for: Heart Attack, Coronary Heart Disease, Stroke, Brain Tumor, Cancer, Kidney Failure, Major Organ Transplant and Blindness.
24 Hour Emergency Services & Pre-Authorisation
24 Hour Emergency Services, Medical Assistance and Pre-Authorisation provided by ER24. Guarranteed hospital admission.
Hospital Plan underwritten by Sanlam Developing Markets Ltd
General Waiting Period: 3 months from inception of Policy
*Benefits may vary according to plan option