Platinum Hospital Plan

R530.00 – R1,590.00

COVER: Private Hospital Benefits | Illness / Accident / Critical Illness / Ambulance

 

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Description

 

 

In-hospital Illness Benefit

Covers up to R10,000 after the first 24 Hours 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. A 3 month waiting period applies and a 12 month pre-existing conditions exclusion applies.

IN-HOSPITAL ILLNESS BENEFITS

AMOUNT PAYABLE

1st Day in Hospital
Not less than 24 hours from time of admission to time of discharge

Up to

R10 000.00

2nd Day in Hospital
Payable in units of R2 500.00 for every quarter day (6 hours)

Up to

R10 000.00 payable in units of

R 2 500.00

3rd Day in Hospital
Payable in units of R2 500.00 for every quarter day (6 hours)

Up to

R10 000.00 payable in units of

R2 500.00

Every subsequent day thereafter

R1 500.00

Maximum Benefit payable for 21 day period

Up To

R 57 000.00
Accident/Trauma Benefit

Up to R 150,000 per single member per incident and up to R 300,000 per family incident. Immediate cover.
Critical Illness Benefit

1 Incident per family per annum

Critical Illness 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. The underwriter’s decision is final. A 3 month waiting period applies.
Accidental Permanent Disability Benefit

R 250 000 for the Principal Member only. Single event only. Immediate cover.
Family Funeral Benefit

  • Principal member – R20,000.
  • Spouse & Child > 14 years – R 10,000.
  • Child > 6 years – R 5,000.
  • Child > 0 years – R 2,500.
  • Child > 28 weeks – R1,250.

A 3-month waiting period applies.  (Benefit only available to plan members.)
24 Hour Emergency Services ambulance & Pre-Authorisation (0861 144 144)

24 Hour Emergency Services, Medical Assistance and Pre-Authorisation provided by Africa Assist. Immediate Cover. Guaranteed private hospital admission with preference to all Life Healthcare and Mediclinic hospitals

 

 

Practical Medical Insurance – Providing cover since 2003 Day1 Health (Pty) Ltd is an authorised Financial Services Provider – FSP Number 11319. Day1 Health (Pty) Ltd is duly approved and accredited by the Council for Medical Schemes – CMS Ref: 1074. Powered by Day1 Health – Underwritten by African Unity Life Ltd, a licensed Life Insurer and an authorised Financial Services Provider. FSP No: FSP 8447. Day1 Health offers Medical Insurance plans and is not a Medical Aid product.

Day1 Health complies with the principles of open enrollment, community rating and cross-subsidisation and does not discriminate or refuse membership on the basis of race, age, gender, marital status, ethnic or social origin, sexual orientation, pregnancy, disability, state of health, geographical location or any other means of discrimination.

 

Additional information

Options

Single, Single + 1 Child, Single + 2 Children, Single + 3 Children, Single + 4 Children, Couple, Couple + 1 Child, Couple + 2 Children, Couple + 3 Children, Couple + 4 Children

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