ONEPLAN MAKES HEALTH COVER
SIMPLE AND AFFORDABLE FOR ALL

With Oneplan Health Insurance, you know exactly what you're covered for. There is no complicated jargon, confusing benefits, long claims processes or high monthly premiums.

Affordable

Affordable monthly premiums from just R480 per month.

Claims Paid Upfront

Pay for doctor visits with your preloaded Oneplan Claim Card.

Private Hospitals

Access to private hospitals and other out-of-hospital benefits.

Expertise

A dedicated claims team with nurses available to assist you when you need them most.

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

CORE PLAN
from
R480
per month
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 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 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 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 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 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 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
Not available for this plan
Not available for this plan
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 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 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 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 600.
Up to R5 600.
Up to R5 800.
Up to R6 100.
Casualty Accident
Up to R5 600.
Up to R5 600.
Up to R5 600.
Up to R5 800.
Up to R6 100.
Accident Cover
Up to R175 000 per insured event.
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
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
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
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.
Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.
Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.
Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.
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 R210 000
Up to R220 000
Up to R230 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: 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 R15 per person
Waive Excesses for R25 per person
Waive Excesses for R40 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

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.
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.
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.
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.
EXECUTIVE PLAN
from R1 765 PM
Excess Buster Waive Excesses for R40 per person
DAY-TO-DAY ANNUAL LIMIT Single: R18 165
2 or 3: R26 770
4 plus: R32 175
Doctor’s Visits Up to R550 per visit.
Scripted Medication Up to R315 per script.
Over-the-counter Medication Up to R315 per annum.
Pathology / Blood Tests Up to R695 per event.
Radiology / X-Rays Up to R695 per event.
Dentistry Up to R905 per visit.
Specialist Cover Up to R2 215 per visit.
Maternity Pre-Birth Up to R705 per visit.
Optometry Up to R1 760.
Casualty Illness Up to R6 100.
Casualty Accident Up to R6 100.
Accident Cover Up to R340 000 per insured event.
Illness In Hospital Up to R80 000 per insured event p/p.
Dread Disease Up to R390 000 per defined disease per year.
Natural Birth & Emergency Caesareans Up to R75 000 per insured event p/p.
Neonatal Up to R75 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: 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.

• 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



ONEPLAN MAKES HEALTH COVER SIMPLE AND AFFORDABLE FOR ALL

With Oneplan Health Insurance, you know exactly what you're covered for. There is no complicated jargon, confusing benefits, long claims processes or high monthly premiums.

Affordable

Affordable monthly premiums from just R420 per month.

Claims Paid Upfront

Pay for doctor visits with your preloaded Oneplan Claim Card.

Private Hospitals

Access to private hospitals and other out-of-hospital benefits.

Expertise

A dedicated claims team with nurses available to assist you when you need them most.

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