Value Plus Plan

Via a registered 1Doctor Health Network Provider. A co-payment of R 75.00 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.

Specialist Benefit of up to R 1000 per family per annum. Subject to pre-authorisation and referral from a 1Doctor Health Network GP. A 3 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.

Acute medication covered according to the 1Doctor Health formulary. Linked to the 1Doctor consultation dispensed by the 1Doctor Health Network GP or obtained on script from a Network Pharmacy. A 1 month waiting period applies.

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.

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.)

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.

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.

Covers up to R10,000 after the first 24 Hours in hospital, up to R10,000 for the second day in hospital, up to R 10,000 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.

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