Day1 Health Senior Plan ComprehensiveR525 per month

Maximum age entry limit:
64 | Persons joining over the age of 65 will be subject to a late joiner penalty fee of up to 75% on monthly premium Once-off non refundable activation fee: R200
*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 Medication

    Acute medication is covered according to the 1Doctor Health formulary. 1 Month waiting period applies

  • Chronic Medication

    Chronic medication is covered according to the 1Doctor Health formulary. A 6 month waiting period applies on chronic medication for unknown conditions and a 12 month waiting period on pre-existing conditions. A standard 12 month waiting period applies for persons aged 65 and over for chronic medication. (All chronic medication is subject to preauthorisation. An additional administration fee is levied on all approved chronic medication).

  • 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 GP of your choice, subject to pre-authorisation.

  • Day to Day Benefits via 1Doctor Health Provider Network

    General Waiting Period: 1 month from inception of Contract

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. (Limited to two events per annum).

  • Accident Benefit

    Up to R75 000 per single member and up to R150 000 per family per incident. Immediate cover. (Limited to two events per annum).

  • Accident / Illness Death Benefit

    R5 000 for the principal member and spouse only.

  • 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)