Health Insurance & Hospital Plan

CORE PLUS PLAN
from
R635
per month

BLUE PLAN
from
R955
per month

PROFESSIONAL PLAN
from
R1 330
per month

EXECUTIVE PLAN
from
R1 765
per month

DAY-TO-DAY BENEFITS

Doctor’s Visits

Up to R400 per visit.

Up to R420 per visit.

Up to R475 per visit.

Up to R550 per visit.

Scripted Medication

Up to R170 per script.

Up to R190 per script.

Up to R275 per script.

Up to R315 per script.

Over-the-Counter Medication

Up to R170 per annum.

Up to R190 per annum.

Up to R275 per annum.

Up to R315 per annum.

Pathology / Blood Tests (Must be referred by a medical practitioner)

Up to R485 per event.

Up to R505 per event.

Up to R555 per event.

Up to R695 per event.

Radiology / X-Rays (Must be referred by a medical practitioner)

Up to R485 per event.

Up to R505 per event.

Up to R555 per event.

Up to R695 per event.

Dentistry

Up to R650 per visit.

Up to R685 per visit.

Up to R810 per visit.

Up to R905 per visit.

Specialist Cover (Must be referred by a medical practitioner)

Not available for this plan

Up to R2 215 per visit. (Referral from GP required)

Maternity Pre-Birth Confirmation of pregnancy required
(Must be referred by a medical practitioner)

Up to R650 per visit.

Up to R660 per visit.

Up to R665 per visit.

Up to R705 per visit.

Optometry

Up to R1 130.

Up to R1 215.

Up to R1 595.

Up to R1 760.

Maximum overall limits

Single: R8 060 | 2 or 3: R13 465
4 plus: R16 765

Single: R8 650 | 2 or 3: R13 520
4 plus: R17 845

Single: R12 490 | 2 or 3: R19 415
4 plus: R24 065

Single: R18 165 | 2 or 3: R26 770
4 plus: R32 175

IN-HOSPITAL BENEFITS

Casualty Illness

Up to R5 600.

Up to R5 800.

Up to R6 100.

Casualty Accident

Up to R5 600.

Up to R5 800.

Up to R6 100.

Accident Cover

Up to R175 000 per insured event.

Up to R230 000 per insured event.

Up to R260 000 per insured event.

Up to R340 000 per insured event.

Illness in Hospital

Not available for this plan

Up to R35 000 per insured event.

Up to R60 000 per insured event p/p.

Up to R68 000 per insured event p/p.

Up to R80 000 per insured event p/p.

Dread Disease

Not available for this plan

Up to R315 000 per insured event.

Up to R335 000 per insured event.

Up to R390 000 per insured event.

Natural Birth & Emergency Caesareans

Not available for this plan

Up to R55 000 per insured event p/p.

Up to R65 000 per insured event p/p.

Up to R75 000 per insured event p/p.

Neonatal (In-Hospital Cover within the first 4 weeks from birth)

Not available for this plan

Up to R55 000 per insured event p/p.

Up to R65 000 per insured event p/p.

Up to R75 000 per insured event p/p.

Repatriation

Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.

Ambulance & Emergency Services

24 hr Medical Assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.

ADDITIONAL VALUE-ADDED COVER

Accident Disability

Up to R210 000

Up to R220 000

Up to R230 000

Family Death Cover

Principal Insured: R13 000
Spouse/Partner: R13 000
Children 14-21 yrs: R13 000
Children 6-13 yrs R9 000
Children 1-5 yrs R7 000

Principal Insured: R15 000
Spouse/Partner: R15 000
Children 14-21 yrs: R15 000
Children 6-13 yrs R10 000
Children 1-5 yrs R7 500

Principal Insured: R20 000
Spouse/Partner: R20 000
Children 14-21 yrs: R20 000
Children 6-13 yrs R12 500
Children 1-5 yrs R8 750

Principal Insured: R25 000
Spouse/Partner: R25 000
Children 14-21 yrs: R25 000
Children 6-13 yrs R15 000
Children 1-5 yrs R10 000

Trauma, Assault & Accidental HIV

Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

OPTIONAL ADD-ON PRODUCT

Excess Buster

Waive Excesses for R15 per person

Waive Excesses for R25 per person

Waive Excesses for R40 per person

• Waiting Periods, Terms and Conditions Apply to all plans and benefits and are stipulated on the plan brochures • Pre-Existing Conditions are excluded for a maximum of 12 Months • Late Joiner Fees may be applied • All healthcare cover amounts are paid onto your Oneplan Claim Card • * Excess applies

Download Comparison Brochure

OUR AFFORDABLE HEALTH PLANS
Couple & Dependant discount applies on all plans

CORE PLAN
from R480 PM

Excess Buster	Waive Excesses for R15 p/p per month

DAY-TO-DAY ANNUAL LIMIT	Single: R8 060 2 or 3: R13 465 4 plus: R16 765
Doctor’s Visits	Up to R400 per visit.
Scripted Medication	Up to R170 per script.
Over-the-counter Medication	Up to R170 per annum.
Pathology / Blood Tests	Up to R485 per event.
Radiology / X-Rays	Up to R485 per event.
Dentistry	Up to R650 per visit.
Specialist Cover	Not available for this plan Not
Maternity Pre-Birth	Up to R650 per visit.
Optometry	Up to R1 130.

Casualty Illness	Up to R5 600.
Casualty Accident	Up to R5 600.
Accident Cover	Up to R175 000 per insured event.
Illness In Hospital	Not available for this plan
Dread Disease	Not available for this plan
Natural Birth & Emergency Caesareans	Not available for this plan
Neonatal	Not available for this plan
Repatriation	Up to R15 000 per insured person.
Ambulance & Emergency Services	24 hr Medical Assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.

Accident Disability	Up to R210 000 for the duration of the policy.
Accidental Death Cover	Principal Insured: R13 000 Spouse/Partner: R13 000 Children 14-21 yrs: R13 000 Children 6-13 yrs R9 000 Children 1-5 yrs R7 000.
Trauma, Assault & Accidental HIV	Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

Accident Disability

Up to R210 000 for the duration of the policy.

Accidental Death Cover

Principal Insured: R13 000

Spouse/Partner: R13 000

Children 14-21 yrs: R13 000

Children 6-13 yrs R9 000

Children 1-5 yrs R7 000.

Trauma, Assault & Accidental HIV

Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

CORE PLUS PLAN
from R635 PM

Excess Buster	Waive Excesses for R15 p/p per month

DAY-TO-DAY ANNUAL LIMIT	Single: R8 060 2 or 3: R13 465 4 plus: R16 765
Doctor’s Visits	Up to R400 per visit.
Scripted Medication	Up to R170 per script.
Over-the-counter Medication	Up to R170 per annum.
Pathology / Blood Tests	Up to R485 per event.
Radiology / X-Rays	Up to R485 per event.
Dentistry	Up to R650 per visit.
Specialist Cover	Not available for this plan Not
Maternity Pre-Birth	Up to R650 per visit.
Optometry	Up to R1 130.

Casualty Illness	Up to R5 600.
Casualty Accident	Up to R5 600.
Accident Cover	Up to R175 000 per insured event.
Illness In Hospital	Up to R35 000 per insured event
Dread Disease	Not available for this plan
Natural Birth & Emergency Caesareans	Not available for this plan
Neonatal	Not available for this plan
Repatriation	Up to R15 000 per insured person.
Ambulance & Emergency Services	24 hr Medical Assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.

Accident Disability	Up to R210 000 for the duration of the policy.
Accidental Death Cover	Principal Insured: R13 000 Spouse/Partner: R13 000 Children 14-21 yrs: R13 000 Children 6-13 yrs R9 000 Children 1-5 yrs R7 000.
Trauma, Assault & Accidental HIV	Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

Accident Disability

Up to R210 000 for the duration of the policy.

Accidental Death Cover

Principal Insured: R13 000

Spouse/Partner: R13 000

Children 14-21 yrs: R13 000

Children 6-13 yrs R9 000

Children 1-5 yrs R7 000.

Trauma, Assault & Accidental HIV

Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

BLUE PLAN
from R955 PM

Excess Buster	Waive Excesses for R25 per person

DAY-TO-DAY ANNUAL LIMIT	Single: R8 650 2 or 3: R13 520 4 plus: R17 845
Doctor’s Visits	Up to R420 per visit.
Scripted Medication	Up to R190 per script.
Over-the-counter Medication	Up to R190 per annum.
Pathology / Blood Tests	Up to R505 per event.
Radiology / X-Rays	Up to R505 per event.
Dentistry	Up to R685 per visit.
Specialist Cover	Not available for this plan
Maternity Pre-Birth	Up to R660 per visit.
Optometry	Up to R1 215.

Casualty Illness	Up to R5 600.
Casualty Accident	Up to R5 600.
Accident Cover	Up to R230 000 per insured event.
Illness In Hospital	Up to R60 000 per insured event p/p.
Dread Disease	Up to R315 000 per defined disease per year.
Natural Birth & Emergency Caesareans	Up to R55 000 per insured event p/p.
Neonatal	Up to R55 000 per insured event p/p.
Repatriation	Up to R15 000 per insured person.
Ambulance & Emergency Services	24 hr Medical Assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.

Accident Disability	Up to R220 000 for the duration of the policy.
Accidental Death Cover	Principal Insured: R15 000 Spouse/Partner: R15 000 Children 14-21 yrs: R15 000 Children 6-13 yrs R10 000 Children 1-5 yrs R7 500
Trauma, Assault & Accidental HIV	Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

Accident Disability

Up to R220 000 for the duration of the policy.

Accidental Death Cover

Principal Insured: R15 000

Spouse/Partner: R15 000

Children 14-21 yrs: R15 000

Children 6-13 yrs R10 000

Children 1-5 yrs R7 500

Trauma, Assault & Accidental HIV

Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

PROFESSIONAL PLAN
from R1 330 PM

Excess Buster	Waive Excesses for R40 per person

DAY-TO-DAY ANNUAL LIMIT	Single: R12 490 2 or 3: R19 415 4 plus: R24 065
Doctor’s Visits	Up to R475 per visit.
Scripted Medication	Up to R275 per script.
Over-the-counter Medication	Up to R275 per annum.
Pathology / Blood Tests	Up to R555 per event.
Radiology / X-Rays	Up to R555 per event.
Dentistry	Up to R810 per visit.
Specialist Cover	Not available for this plan
Maternity Pre-Birth	Up to R665 per visit.
Optometry	Up to R1 595.

Casualty Illness	Up to R5 800.
Casualty Accident	Up to R5 800.
Accident Cover	Up to R260 000 per insured event.
Illness In Hospital	Up to R68 000 per insured event p/p.
Dread Disease	Up to R335 000 per defined disease per year.
Natural Birth & Emergency Caesareans	Up to R65 000 per insured event p/p.
Neonatal	Up to R65 000 per insured event p/p.
Repatriation	Up to R15 000 per insured person.
Ambulance & Emergency Services	24 hr Medical Assistance with an emergency dedicated line. In the event of a justifiable, life-threatening medical emergency, the insured will be transported by ambulance to the nearest appropriate medical facility.

Accident Disability	Up to R230 000 for the duration of the policy.
Accidental Death Cover	Principal Insured: R20 000 Spouse/Partner: R20 000 Children 14-21 yrs: R20 000 Children 6-13 yrs R12 500 Children 1-5 yrs R8 750.
Trauma, Assault & Accidental HIV	Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

Accident Disability

Up to R230 000 for the duration of the policy.

Accidental Death Cover

Principal Insured: R20 000

Spouse/Partner: R20 000

Children 14-21 yrs: R20 000

Children 6-13 yrs R12 500

Children 1-5 yrs R8 750.

Trauma, Assault & Accidental HIV

Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment.

EXECUTIVE PLAN
from R1 765 PM