Medical health insurance benefits for people not on conventional medical aid
health insurance solutions & easy access to private healthcare facilities
Should be rewarded with medical cover
to cover your families medical needs
At the most affordable rates
On living a healthy lifestyle
from as little as R352 per month
day to day benefits and hospital plan
insurance stated benefit
STARTING FROM R240 PER MONTH!
STARTING FROM R352 PER MONTH!
STARTING FROM R592 PER MONTH!
BROWSE OUR NETWORK OF GP'S AND DENTISTS
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
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.
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.
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.
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 treatment includes preventative cleaning, pain control, fillings, emergency root canal and extractions via 1Doctor Health Network Dentist. A 6 month waiting period applies.
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.
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.
*Benefits may vary according to plan option
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.
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.
Up to R150 000 per single member and up to R300 000 per family per incident. Immediate cover.
R10 000 for the Principal Member.
R250 000 for the Principal Member only. Single event only. Immediate cover.
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, Medical Assistance and Pre-Authorisation provided by ER24. Guaranteed hospital admission.
General Waiting Period: 3 months from inception of Policy
What to do in the event of a Medical Emergency.