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Why Oneplan Health Insurance

  • No network doctors needed, you can see the doctor of your choice, anytime & anywhere.
  • Upfront payments for day-to-day cover which means that you get paid BEFORE you see the doctor!
  • Affordable Access to Private Hospitals
  • In hospital cover includes casualty which can be paid to your Oneplan Claim Card.
  • 73% of claims are paid in less than 1 minute*
For the expected, unexpected and everything in between – Choose Oneplan Health Insurance
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Check out our affordable health plans for you and or your loved ones

PLEASE NOTE :These prices and benefits are effective from the 01 March 2022

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Plan Comparison Brochure
Core Plan

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R 420 pm
Per Person

  • General Practitioner (Doctor/registered nurse)
    Up to R 370 per visit
  • Scripted Medication
    Up to R155 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Over the counter Medication
    Up to R155 per annum.
  • Pathology
    Up to R445 per event.
  • Radiology
    Up to R445 per event.
  • Dentistry
    Up to R600 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.

  • Maternity Pre Birth
    Up to R600 per visit. 3 Visits per Pregnancy. Annual limit of R 1800.
  • Optometry
    Up to R 1045 - Limited to claim this every 24 months per dependant.
  • Casualty Illness
    Up to R5000 for life threatening emergency illness in casualty units. Excess:4 months plus - R200
  • Casualty Accident
    Up to R5000 for accident events in casualty units that does not result in admission. Excess:0-3 Months - 15 % | 4 months plus -R200
  • Accident Cover
    Up to R155 000 per insured event. Up to R310 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period).
  • Illness In Hospital
    Not Covered on this plan


  • Dread Disease
    Not Covered on this plan
  • Natural Birth and Emergency Caesareans
    Not Covered on this plan


  • Neonatal
    Not Covered on this plan


  • Repatriation
    Up to R12 200 per insured person. Repatriation of mortal remains to funeral home.
  • Ambulance and 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 R190 000 for the duration of the policy. only principal insured is covered.
  • 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 and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • ADD-ON PRODUCTS
  • Excess Buster to Waive Excesses
    R15 per person
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Blue Plan

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R 830 pm
Per Person

  • General Practitioner (Doctor/registered nurse)
    Up to R390 per visit
  • Scripted Medication
    Up to R175 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Over the counter Medication
    Up to R175 per annum.
  • Pathology
    Up to R465 per event.
  • Radiology
    Up to R465 per event.
  • Dentistry
    Up to R630 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.

  • Maternity Pre Birth
    Up to R610 per visit. 3 Visits per Pregnancy. Annual limit of R1 830.
  • Optometry
    Up to R1125 - Limited to claim this every 24 months per dependant.
  • Casualty Illness
    Up to R5000 for life threatening emergency illness in casualty units. Excess:4 months plus - R200
  • Casualty Accident
    Up to R5000 for accident events in casualty units that does not result in admission. Excess:0-3 Months - 15 % | 4 months plus -R200
  • Accident Cover
    Up to R210 000 per insured event. Up to R420 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R51 500 per insured event p/p. Up to R128 750 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R280 000 per defined disease per year.
  • Natural Birth and Emergency Caesareans
    Up to R50 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Neonatal
    Up to R50 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Repatriation
    Up to R12 200 per insured person. Repatriation of mortal remains to funeral home.
  • Ambulance and 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 R200 000 for the duration of the policy. Only principal insured is covered.
  • 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 and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • ADD-ON PRODUCTS
  • Excess Buster to Waive Excesses
    R25 per person
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Professional Plan

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R 1115 pm
Per Person

  • General Practitioner (Doctor/registered nurse)
    Up to R440 per visit
  • Scripted Medication
    Up to R250 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Over the counter Medication
    Up to R250 per annum.
  • Pathology
    Up to R515 per event.
  • Radiology
    Up to R515 per event.
  • Dentistry
    Up to R750 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.

  • Maternity Pre Birth
    Up to R615 per visit. 3 Visits per Pregnancy. Annual limit of R1 845.
  • Optometry
    Up to R1 475 - Limited to claim this every 24 months per dependant.
  • Casualty Illness
    Up to R5250 for life threatening emergency illness in casualty units. Excess:4 months plus - R200
  • Casualty Accident
    Up to R5250 for accident events in casualty units that does not result in admission. Excess:0-3 Months - 15 % | 4 months plus -R200
  • Accident Cover
    Up to R235 000 per insured event. Up to R470 000 per family per event. Excess: R500 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R61 500 per insured event p/p. Up to R153 750 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R305 000 per defined disease per year
  • Natural Birth and Emergency Caesareans
    Up to R60 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Neonatal
    Up to R60 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Repatriation
    Up to R12 200 per insured person. Repatriation of mortal remains to funeral home.
  • Ambulance and 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. only principal insured is covered.
  • 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 and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • ADD-ON PRODUCTS
  • Excess Buster to Waive Excesses
    R40 per person
  • Call Me
  • Sign Up Online
Executive Plan

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R 1465 pm
Per Person

  • General Practitioner (Doctor/registered nurse)
    Up to R510 per visit
  • Scripted Medication
    Up to R290 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Over the counter Medication
    Up to R290 per annum.
  • Pathology
    Up to R640 per event
  • Radiology
    Up to R640 per event
  • Dentistry
    Up to R835 per visit. Max of 3 visits a year.
  • Specialist Cover
    Up to R2 050 per visit. 3 visits per family per year. Referral from GP required and subject to authorisation.
  • Maternity Pre Birth
    Up to R650 per visit. 4 Visits per Pregnancy. Annual limit of R2 600.
  • Optometry
    Up to R1 625 - Limited to claim this every 24 months per dependant.
  • Casualty Illness
    Up to R5 500 for life threatening emergency illness in casualty units. Excess:4 months plus - R200
  • Casualty Accident
    Up to R5 500 for accident events in casualty units that does not result in admission. Excess:0-3 Months - 15 % | 4 months plus -R200
  • Accident Cover
    Up to R310 000 per insured event. Up to R620 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R71 500 per insured event p/p. Up to R178 750 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R355 000 per defined disease per year.
  • Natural Birth and Emergency Caesareans
    Up to R70 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Neonatal
    Up to R70 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Repatriation
    Up to R12 200 per insured person. Repatriation of mortal remains to funeral home.
  • Ambulance and 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. only principal insured is covered.
  • Accidental Death Cover
    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 and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • ADD-ON PRODUCTS
  • Excess Buster to Waive Excesses
    R40 per person
  • Call Me
  • Sign Up Online
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