Senior Day to Day Plan

Via a registered 1Doctor Health Network Provider. A co-payment of
R75.00 will apply for all additional visits after the 5th visit. A 1 month waiting period applies.

Basic diagnostic blood tests on referral by a 1Doctor Health Network GP and subject to a list of basic pathology tests approved by Day1 Health. A 1 month waiting period applies.

Acute medication covered according to the 1Doctor Health formulary. A 1 month waiting period applies.

Basic treatment includes preventative cleaning, fillings, extractions and emergency pain and sepsis control via a 1Doctor Health Network Dentist. 2 visits per annum per member. A 3 month waiting period applies.

Chronic medication covered according to the 1Doctor Health formulary. A 3 month waiting period applies on chronic medication for unknown conditions and 12 months waiting period on pre-existing conditions. (All chronic medication is subject to pre-authorisation. An additional administration fee may be levied on all approved chronic medication.)

One eye test and one set of glasses every 24 months per the specific Iso Leso Optics agreed protocol range. A 12 month waiting period applies.

Basic radiology according to the 1Doctor Health formulary via a 1Doctor Health network GP. Black and white diagnostic x-rays only. A 1 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 GP of your choice, subject to pre-authorisation. A 1 month waiting period applies.

Principal Member and Spouse – R 5,000.

A 3-month waiting period applies.  (Benefit only available to plan members.)