Affordable Medical Cover

Medical cover

Do you need affordable medical cover for you and your family?

Is your medical aid costing you too much?

We have the solution for you. Apply today for affordable medical cover that starts from as little as R240.00 per month.

You can choose your medical cover to suit your budget and your needs. You can choose between Day to day benefits and hospital benefits. You can cover your entire family. We also offer a student plan from R395.00 a month and a senior plan from ages 55+ from just R295.00 a month.

Monthly Premium Packages

Once-off admin fee of R100 applicable on all new applications

Member Covered Day to Day Plan Hospital Plan PLATINUM PLAN

(Day to Day & Hospital Plan)

EXECUTIVE PLAN

(Day to Day & Hospital Plan)

Single Member R240 p/m R352 p/m R529 p/m R690 p/m
Single + 1 Child R355 p/m R385 p/m R689 p/m R1030 p/m
Single + 2 Children R470 p/m R424 p/m R827 p/m R1370 p/m
Single + 3 Children R586 p/m R462 p/m R970 p/m R1720 p/m
Single + 4 Children R586 p/m R501 p/m R1007 p/m R1940 p/m
Couple R413 p/m R682 p/m R1044 p/m R1340 p/m
Couple + 1 Child R529 p/m R720 p/m R1193 p/m R1640 p/m
Couple + 2 Children R644 p/m R760 p/m R1336 p/m R1980 p/m
Couple + 3 Children R761 p/m R798 p/m R1474 p/m R2320 p/m
Couple + 4 Children R761 p/m R838 p/m R1511 p/m R2400 p/m
Student Cover Not Applicable Not Applicable R395 p/m Not Applicable
Senior (55+) Plan R295 p/m Not Applicable Not Applicable Not Applicable
Your monthly premium package *

Our ranges of benefits are as follows:

                   Day to day benefits             Hospital benefits
Doctor Visits

Unlimited but managed doctor visits via a registered 1Doctor Health Network Provider.

 

Accident Benefit

Up to R150 000 per single member and up to R300 000 per family per incident. Immediate cover.

Specialist Benefit

Specialist Benefit of up to R500 per family per annum. Pre-authorization and a referral by a 1Doctor Network GP is required.

Accident / Illness Death Benefit

R10 000 for the Principal Member

Acute & Chronic Medication

Both acute and chronic medication are covered according to the 1Doctor Health formulary. A 6 month waiting period applies on chronic medication and 12 months on pre-existing.

Accidental Permanent Disability Benefit

R250 000 for the Principal Member only. Single event only. Immediate cover.

Basic Dentistry

Basic treatment includes preventative cleaning, pain control, fillings, emergency root canal and extractions via 1Doctor Health Network Dentist.

 

Accidental Exposure to HIV / AIDS

Two incidents per family per annum

Optometry (Spec-Savers)

One eye test every 12 months and one set of glasses every 2 years with grey colour value code via Spec-Savers stores.

 

In-hospital Illness Benefit

Up to R6 500 for the 1st day, up to R4 500 for the 2nd day & up to R4 500 for the 3rd day – thereafter R1 500 per day up to a maximum of 21 days

Radiology

Basic radiology via 1Doctor Network Provider. Black and white diagnostic x-rays only.

 

Illness Top-up Benefit

An additional illness protection benefit payable up to R25 000 for a single member and up to R40 000 for a family.

 

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 a GP of your choice.

Family Funeral Benefit

Principal, Spouse & Child > 14 yrs R10 000, Child > 6yrs R5 000, Child > 0 years R2 500, Child > 28 weeks R1 250. A 3 month waiting period applies.

Pathology

Diagnostic blood tests on referral by a 1Doctor Network GP and subject to a list of basic pathology tests approved by Day1 Health

Dread Disease Benefit

Upon diagnosis with an annual limit of up to R250 000 payable for: Heart Attack, Coronary Heart Disease, Stroke, Brain Tumor, Cancer, Kidney Failure, Major Organ Transplant, Paraplegia and Blindness.

 

 

 Value for money

 

Apply today for excellent value for money. On top of your basic medical cover you will also qualify for a family funeral benefit, dread disease cover, accident benefit, accident/illness death benefit and accidental permanent disability benefit hence one plan will cover you and your family in numerous ways.

We will get one of our friendly agents to give you a call to set up an appointment.

We create healthy families!

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