Kindly find our Plan comparison listed below so you may choose the Plan that best suites you
and your Family
- All pre-existing conditions (known or unknown) will be subject to a 12 month waiting period or exclusion or loading
| PRINCIPLE / INSURED | ONEHOUR | CORE | HEALTH | BLUE | PROFESSIONAL | EXECUTIVE | ELITE | GOLDEN | EXECUTIVE HOSPITAL | ELITE HOSPITAL | |
| Single | R 100.00 | R 229.50 | R 245.00 | R 398.00 | R 460.00 | R 565.00 | R 695.00 | R 518.00 | R 295.00 | R 395.00 | |
| Single + 1 Child | R 170.00 | R 380.00 | R 435.00 | R 638.00 | R 715.00 | R 795.00 | R 975.00 | R 765.00 | R 350.00 | R 465.00 | |
| Single + 2 Child | R 240.00 | R 525.00 | R 625.00 | R 878.00 | R 895.00 | R 980.00 | R 1 200.00 | R 940.00 | R 410.00 | R 540.00 | |
| Single + 3 Child | R 310.00 | R 665.00 | R 815.00 | R 1 118.00 | R 1 070.00 | R 1 160.00 | R 1 430.00 | R 1 120.00 | R 470.00 | R 625.00 | |
| Single + 4 Child | R 380.00 | R 835.00 | R 1 005.00 | R 1 358.00 | R 1 260.00 | R 1 320.00 | R 1 660.00 | R 1 310.00 | R 525.00 | R 730.00 | |
| Couple | R 180.00 | R 440.00 | R 490.00 | R 773.00 | R 845.00 | R 995.00 | R 1 210.00 | R 885.00 | R 490.00 | R 665.00 | |
| Couple + 1 Child | R 250.00 | R 585.00 | R 680.00 | R 1 020.00 | R 1 020 | R 1 190.00 | R 1 430.00 | R 1 120.00 | R 560.00 | R 735.00 | |
| Couple + 2 Child | R 320.00 | R 728.00 | R 870.00 | R 1 195.00 | R 195.00 | R 1 370.00 | R 1 660.00 | R 1 290.00 | R 630.00 | R 810.00 | |
| Couple + 3 Child | R 390.00 | R 870.00 | R 1 060.00 | R 1 370.00 | R 1 370.00 | R 1 530.00 | R 1 880.00 | R 1 470.00 | R 700.00 | R 890.00 | |
| Couple + 4 Child | R 460.00 | R 1 040.00 | R 1 250.00 | R 1 540.00 | R 1 540.00 | R 1 690.00 | R 2 140.00 | R 1 660.00 | R 770.00 | R 999.00 | |
| HEALTH COVER | WAITING PERIOD | MAXIMUM OVERALL LIMITS | |||||||||
| Medical Practitioner Visits | 30 Days | - | A maximum of R230.00 per visit paid onto your Onecard™ Annual limits: Single: R 1 150.00 | 2 or 3: R 2 070.00 4 plus: R 2 760.00 | A maximum of R230.00 per visit paid onto your Onecard™ Annual limits: Single: R 1 610.00 | 2 or 3: R 2 760.00 4 plus: R 3 450.00 | A maximum of R230.00 per visit paid onto your Onecard™ Annual limits: Single: R 1 150.00 | 2 or 3: R 2 070.00 | 4 plus: R 2 760.00 | A maximum of R230.00 per visit paid onto your Onecard™ Annual limits: Single: R 1 610.00 | 2 or 3: R 2 760.00 4 plus: R 3 450.00 | A maximum of R230.00 per visit paid onto your Onecard™ Annual limits: Single: R 2 070.00 | 2 or 3: R 3 450.00 4 plus: R 4 140.00 | A maximum of R230.00 per visit paid onto your Onecard™ Annual limits: Single: R 2 760.00 | 2 or 3: R 3 680.00 4 plus: R 4 600.00 | A maximum of R230.00 per visit paid onto your Onecard™ Annual limits: Single: R 1 610.00 | 2 or 3: R 2 760.00 4 plus: R 3 450.00 | - | - |
| Scripted Medication | 30 Days | - | A maximum of R100.00 per visit linked to a Medical Practitioner linked script paid onto your Onecard™ Annual limits: Single: R 500.00 | 2 or 3: R 900.00 | 4 plus: R 1 200.00 • Only applicable if prescribed by a Medical Practitioner • No over-the-counter Medication is covered | A maximum of R150.00 per visit linked to a Medical Practitioner linked script paid onto your Onecard™ Annual limits: Single: R 1 000.00 | 2 or 3: R 1 500.00 4 plus: R 1 750.00 • Only applicable if prescribed by a Medical Practitioner • No over-the-counter Medication is covered | A maximum of R100.00 per visit linked to a Medical Practitioner linked script paid onto your Onecard™ Annual limits: Single: R 500.00 | 2 or 3: R 900.00 | 4 plus: R 1 200.00 • Only applicable if prescribed by a Medical Practitioner • No over-the-counter Medication is covered | A maximum of R150.00 per visit linked to a Medical Practitioner linked script paid onto your Onecard™ Annual limits: Single: R 1 000.00 | 2 or 3: R 1 500.00 | R 1 750.00 • Only applicable if prescribed by a Medical Practitioner • No over-the-counter Medication is covered | A maximum of R170.00 per visit linked to a Medical Practitioner linked script paid onto your Onecard™ Annual limits: Single: R 1 250.00 | 2 or 3: R 1 650.00 4 plus: R 2 000.00 • Only applicable if prescribed by a Medical Practitioner • No over-the-counter Medication is covered | A maximum of R200.00 per visit linked to a Medical Practitioner linked script paid onto your Onecard™ Annuallimits: Single: R 2 000.00 | 2 or 3: R 2 500.00 | 4 plus: R 3 200.00 • Only applicable if prescribed by a Medical Practitioner • No over-the-counter Medication is covered | A maximum of R150.00 per visit linked to a Medical Practitioner linked script paid onto your Onecard™ Annual limits: Single: R 1 000.00 | 2 or 3: R 1 500.00 4 plus: R 1 750.00 • Only applicable if prescribed by a Medical Practitioner • No over-the-counter Medication is covered | - | - |
| Repeat Scripted Medication | 90 Days | - | A maximum of R100.00 per month on a Medical Practitioner linked script paid onto your Onecard™ • If approved this type of medication forms part of the Scripted Medication limits • Repeated Script conditions must be reported within 30 days of diagnosis and may require under writing approval, a loading fee or be subject to an exclusion • All pre-existing chronic conditions (known or unknown) will be excluded | A maximum of R150.00 per month on a Medical Practitioner linked script paid onto your Onecard™ • If approved this type of medication forms part of the Scripted Medication limits • Repeated Script conditions must be reported within 30 days of diagnosis and may require under writing approval, a loading fee or be subject to an exclusion • All pre-existing chronic conditions (known or unknown) will be excluded | A maximum of R100.00 per month on a Medical Practitioner linked script paid onto your Onecard™ • If approved this type of medication forms part of the Scripted Medication limits • Repeated Script conditions must be reported within 30 days of diagnosis and may require under writing approval, a loading fee or be subject to an exclusion • All pre-existing chronic conditions (known or unknown) will be excluded | A maximum of R150.00 per month on a Medical Practitioner linked script paid onto your Onecard™ • If approved this type of medication forms part of the Scripted Medication limits • Repeated Script conditions must be reported within 30 days of diagnosis and may require under writing approval, a loading fee or be subject to an exclusion • All pre-existing chronic conditions (known or unknown) will be excluded | A maximum of R170.00 per month on a Medical Practitioner linked script paid onto your Onecard™ • If approved this type of medication forms part of the Scripted Medication limits • Repeated Script conditions must be reported within 30 days of diagnosis and may require under writing approval, a loading fee or be subject to an exclusion • All pre-existing chronic conditions (known or unknown) will be excluded | A maximum of R200.00 per month on a Medical Practitioner linked script paid onto yourOnecard™ • If approved this type of medication forms part of the Scripted Medication limits • Repeated Script conditions must be reported within 30 days of diagnosis and may require under writing approval, a loading fee or be subject to an exclusion • All pre-existing chronic conditions (known or unknown) will be excluded | A maximum of R150.00 per month on a Medical Practitioner linked script paid onto your Onecard™ • If approved this type of medication forms part of the Scripted Medication limits • Repeated Script conditions must be reported within 30 days of diagnosis and may require under writing approval, a loading fee or be subject to an exclusion • All pre-existing chronic conditions (known or unknown) will be excluded | - | - |
| Specialist Visits | 90 Days | - | - | - | - | - | A maximum of R1500.00 per visit paid onto your Onecard™ • 3 visits per family per year • Including any medication or tests that may be associated | A maximum of R1500.00 per visit paid onto your Onecard™ • 6 visits per family per year • Including any medication or tests that may be associated | - | - | - |
| Dental Visits | 90 Days | - | A maximum of R200.00 per visit paid onto your Onecard™ Annual limits: Single: R 400.00 | 2 or 3: R 800.00 4 plus: R 1 200.00 • Dental Procedures covered under Dental Cover | A maximum of R200.00 per visit paid onto your Onecard™ Annual limits: Single: R 600.00 | 2 or 3: R 1 400.00 4 plus: R 2 000.00 • Dental Procedures covered under Dental Cover | A maximum of R200.00 per visit paid onto your Onecard™ Annual limits: Single: R 400.00 | 2 or 3: R 800.00 4 plus: R 1 200.00 • Dental Procedures covered under Dental Cover | A maximum of R200.00 per visit paid onto your Onecard™ Annual limits: Single: R 600.00 | 2 or 3: R 1 400.00 4 plus: R 2 000.00 • Dental Procedures covered under Dental Cover | A maximum of R225.00 per visit paid onto your Onecard™ Annual limits: Single: R 680.00 | 2 or 3: R 2 380.00 | 4 plus: R 3 060.00 • Dental Procedures covered under Dental Cover | A maximum of R250.00 per visit paid onto your Onecard™ Annual limits: Single: R 800.00 | 2 or 3: R 3 200.00 4 plus: R 4 000.00 • Dental Procedures covered under Dental Cover | A maximum of R200.00 per visit paid onto your Onecard™ Annual limits: Single: R 510.00 | 2 or 3: R 1 360.00 4 plus: R 1 800.00 • Dental Procedures covered under Dental Cover | - | - |
| Radiology | 30 Days | - | A maximum of R300.00 per event paid onto your Onecard™ Annual limits: Single: R 1 000.00 | 2 or 3: R 2 000.00 4 plus: R 2 750.00 • Must be referred by a Medical Practitioner | A maximum of R350.00 per event paid onto your Onecard™ Annual limits: Single: R 1 400.00 | 2 or 3: R 2 750.00 4 plus: R 3 500.00 • Must be referred by a Medical Practitioner | A maximum of R300.00 per event paid onto your Onecard™ Annual limits: Single: R 1 000.00 | 2 or 3: R 2 000.00 4 plus: R 2 750.00 • Must be referred by a Medical Practitioner | A maximum of R350.00 per event paid onto your Onecard™ Annual limits: Single: R 1 400.00 | 2 or 3: R 2 750.00 4 plus: R 3 500.00 • Must be referred by a Medical Practitioner | A maximum of R450.00 per event paid onto your Onecard™ Annual limits: Single: R 1 800.00 | 2 or 3: R 3 200.00 4 plus: R 4 500.00 • Must be referred by a Medical Practitioner | A maximum of R500.00 per event paid onto your Onecard™ Annual limits: Single: R 2 000.00 | 2 or 3: R 4 200.00 4 plus: R 6 000.00 • Must be referred by a Medical Practitioner | A maximum of R400.00 per event paid onto your Onecard™ Annual limits: Single: R 1 600.00 | 2 or 3: R 2 750.00 4 plus: R 3 500.00 • Must be referred by a Medical Practitioner | - | - |
| Pathology | 30 Days | - | A maximum of R300.00 per event paid onto your Onecard™ Annual limits: Single: R 1 000.00 | 2 or 3: R 2 000.00 4 plus: R 2 750.00 • Must be referred by a Medical Practitioner | A maximum of R350.00 per event paid onto your Onecard™ Annual limits: Single: R 2 000.00 | 2 or 3: R 2 750.00 4 plus: R 3 500.00 • Must be referred by a Medical Practitioner | A maximum of R300.00 per event paid onto your Onecard™ Annual limits: Single: R 1 000.00 | 2 or 3: R 2 000.00 4 plus: R 2 750.00 • Must be referred by a Medical Practitioner | A maximum of R350.00 per event paid onto your Onecard™ Annual limits: Single: R 2 000.00 | 2 or 3: R 2 750.00 4 plus: R 3 500.00 • Must be referred by a Medical Practitioner | A maximum of R450.00 per event paid onto your Onecard™ Annual limits: Single: R 2 400.00 | 2 or 3: R 3 200.00 4 plus: R 4 100.00 • Must be referred by a Medical Practitioner | A maximum of R500.00 per event paid onto your Onecard™ Annual limits: Single: R 3 000.00 | 2 or 3: R 4 000.00 4 plus: R 5 000.00 • Must be referred by a Medical Practitioner | A maximum of R400.00 per event paid onto your Onecard™ Annual limits: Single: R 2 000.00 | 2 or 3: R 2 750.00 4 plus: R 3 500.00 • Must be referred by a Medical Practitioner | - | - |
| Maternity Pre-Birth | 7 months applicable to new policies only | - | A maximum of R400.00 per visit paid onto your Onecard™ • 3 visits per pregnancy / Annual limit of R1 200.00 • Please notify Oneplan™ of the pregnancy • If you are out of your waiting period, cover is only active 4 months from the date of conception | A maximum of R400.00 per visit paid onto your Onecard™ • 3 visits per pregnancy / Annual limit of R1 200.00 • Please notify Oneplan™ of the pregnancy • If you are out of your waiting period, cover is only active 4 months from the date of conception | A maximum of R400.00 per visit paid onto your Onecard™ • 3 visits per pregnancy / Annual limit of R1 200.00 • Please notify Oneplan™ of the pregnancy • If you are out of your waiting period, cover is only active 4 months from the date of conception | A maximum of R400.00 per visit paid onto your Onecard™ • 3 visits per pregnancy / Annual limit of R1 200.00 • Please notify Oneplan™ of the pregnancy • If you are out of your waiting period, cover is only active 4 months from the date of conception | A maximum of R400.00 per visit paid onto your Onecard™ • 4 visits per pregnancy / Annual limit of R1 600.00 • Please notify Oneplan™ of the pregnancy • If you are out of your waiting period, cover is only active 4 months from the date of conception | A maximum of R450.00 per visit paid onto your Onecard™ • 4 visits per pregnancy / Annual limit of R1 800.00 • Please notify Oneplan™ of the pregnancy • If you are out of your waiting period, cover is only active 4 months from the date of conception | - | - | - |
| Maximum overall limit for Health Cover of: Single: R 5 250.00 | 2 or 3: R 8 820.00 | 4 plus: R 11 710.00 | Maximum overall limit for Health Cover of: Single: R 8 210.00 | 2 or 3: R 12 760.00 | 4 plus: R 15 800.00 | Maximum overall limit for Health Cover of: Single: R 5 250.00 | 2 or 3: R 8 820.00 | 4 plus: R 11 710.00 | Maximum overall limit for Health Cover of Single: R 8 210.00 | 2 or 3: R 12 760.00 | 4 plus: R 15 800.00 | Maximum overall limit for Health Cover of Single: R 14 520.00 | 2 or 3: R 20 200.00 | 4 plus: R 24 240.00 | Maximum overall limit for Health Cover of: Single: R 22 560.00 | 2 or 3: R 29 180.00 | 4 plus: R 34 600.00 | Maximum overall limit for Health Cover of: Single: R 6 810.00 | 2 or 3: R 11 160.00 | 4 plus: R 14 200.00 | - | - | |||
| HOSPITAL RISK COVER | WAITING PERIOD | MAXIMUM OVERALL LIMITS | |||||||||
| Accident Cover | Immediate Cover | Up to R100 000.00 per insured event. Up to R200 000.00 per family per event • Excess of R500.00 per event is applicable | Up to R100 000.00 per insured event. Up to R200 000.00 per family per event • Excess of R500.00 per event is applicable | - | Up to R125 000.00 per insured event. Up to R250 000.00 per family per event • Excess of R500.00 per event is applicable | Up to R125 000.00 per insured event. Up to R250 000.00 per family per event • Excess of R500.00 per event is applicable | Up to R200 000.00 per insured event. Up to R400 000.00 per family per event • Excess of R500.00 per event is applicable | Up to R300 000.00 per insured event. Up to R500 000.00 per family per event • Excess of R500.00 per event is applicable | Up to R125 000.00 per insured event. Up to R250 000.00 per family per event • Excess of R500.00 per event is applicable • Limited to 2 accidents per year | Up to R200 000.00 per insured event. Up to R400 000.00 per family per event • Excess of R500.00 per event is applicable | Up to R300 000.00 per insured event. Up to R500 000.00 per family per event • Excess of R500.00 per event is applicable |
| Illness in Hospital | 90 Days | - | - | - | Up to R 30 000.00 per insured event per person. Up to R80 000.00 family / insured annual limit • Month 1-3 excluded • Month 3-6 excess of 15% of the total claim not exceeding the sum insured • Month 6 onwards excess of 5% of the total claim not exceeding the sum insured | Up to R 30 000.00 per insured event per person. Up to R80 000.00 family / insured annual limit • Month 1-3 excluded • Month 3-6 excess of 15% of the total claim not exceeding the sum insured • Month 6 onwards excess of 5% of the total claim not exceeding the sum insured | Up to R 40 000.00 per insured event per person. Up to R100 000.00 family / insured annual limit • Month 1-3 excluded • Month 3-6 excess of 15% of the total claim not exceeding the sum insured • Month 6 onwards excess of 5% of the total claim not exceeding the sum insured | Up to R 75 000.00 per insured event per person. Up to R200 000.00 family / insured annual limit • Month 1-3 excluded • Month 3-6 excess of 15% of the total claim not exceeding the sum insured • Month 6 onwards excess of 5% of the total claim not exceeding the sum insured | Up to R30 000.00 per insured event per person. Up to R80 000.00 family / insured annual limit • Month 1-3 excluded • Month 3-6 excess of 15% of the total claim not exceeding the sum insured • Month 6 onwards excess of 5% of the total claim not exceeding the sum insured | Up to R 40 000.00 per insured event per person. Up to R100 000.00 family / insured annual limit • Month 1-3 excluded • Month 3-6 excess of 15% of the total claim not exceeding the sum insured • Month 6 onwards excess of 5% of the total claim not exceeding the sum insured | Up to R 75 000.00 per insured event per person. Up to R200 000.00 family / insured annual limit • Month 1-3 excluded • Month 3-6 excess of 15% of the total claim not exceeding the sum insured • Month 6 onwards excess of 5% of the total claim not exceeding the sum insured |
| Emergency Illness | Immediate Cover | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event • Not intended to replace normal Medical Practitioner visits | - | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event • Not intended to replace normal Medical Practitioner visits | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event • Not intended to replace normal Medical Practitioner visits | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event • Not intended to replace normal Medical Practitioner visits | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event • Not intended to replace normal Medical Practitioner visits | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event • Not intended to replace normal Medical Practitioner visits | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event • Not intended to replace normal Medical Practitioner visits | Up to R4 000.00 in Accident and Emergency Units for life threatening emergency medical treatment • Month 1-3 R600 excess per event • Month 3 onward excess of R200.00 per event • Not intended to replace normal Medical Practitioner visits |
| Dreaded Disease | 90 Days | - | - | - | Up to R185 000.00 per defined disease per year • Newly diagnosed within the first 3 months will be regarded as a pre-existing condition • Occuring during months 3 to 6 of the policy, the condition will be subject to a full medical report confirming that it is not a pre-existing condition whether it was known or unknown • Pre-existing Dread Disease conditions will not be covered if not specifically agreed in writing | Up to R185 000.00 per defined disease per year • Newly diagnosed within the first 3 months will be regarded as a pre-existing condition • Occuring during months 3 to 6 of the policy, the condition will be subject to a full medical report confirming that it is not a pre-existing condition whether it was known or unknown • Pre-existing Dread Disease conditions will not be covered if not specifically agreed in writing | Up to R250 000.00 per defined disease per year • Newly diagnosed within the first 3 months will be regarded as a pre-existing condition • Occuring during months 3 to 6 of the policy, the condition will be subject to a full medical report confirming that it is not a pre-existing condition whether it was known or unknown • Pre-existing Dread Disease conditions will not be covered if not specifically agreed in writing | Up to R250 000.00 per defined disease per year • Newly diagnosed within the first 3 months will be regarded as a pre-existing condition • Occuring during months 3 to 6 of the policy, the condition will be subject to a full medical report confirming that it is not a pre-existing condition whether it was known or unknown • Pre-existing Dread Disease conditions will not be covered if not specifically agreed in writing | Up to R42 500.00 per defined disease per year • Newly diagnosed within the first 3 months will be regarded as a pre-existing condition • Occuring during months 3 to 6 of the policy, the condition will be subject to a full medical report confirming that it is not a pre-existing condition whether it was known or unknown • Pre-existing Dread Disease conditions will not be covered if not specifically agreed in writing | Up to R250 000.00 per defined disease per year • Newly diagnosed within the first 3 months will be regarded as a pre-existing condition • Occuring during months 3 to 6 of the policy, the condition will be subject to a full medical report confirming that it is not a pre-existing condition whether it was known or unknown • Pre-existing Dread Disease conditions will not be covered if not specifically agreed in writing | Up to R250 000.00 per defined disease per year • Newly diagnosed within the first 3 months will be regarded as a pre-existing condition • Occuring during months 3 to 6 of the policy, the condition will be subject to a full medical report confirming that it is not a pre-existing condition whether it was known or unknown • Pre-existing Dread Disease conditions will not be covered if not specifically agreed in writing |
| Natural Birth and Emergency Caesareans | 12 Months | - | - | - | Up to R 30 000.00 per insured event per person • This cover forms part of the Illness and Operation annual limits | Up to R 30 000.00 per insured event per person • This cover forms part of the Illness and Operation annual limits | Up to R 40 000.00 per insured event per person • This cover forms part of the Illness and Operation annual limits | Up to R 75 000.00 per insured event per person • This cover forms part of the Illness and Operation annual limits | - | Up to R 40 000.00 per insured event per person • This cover forms part of the Illness and Operation annual limits | Up to R 75 000.00 per insured event per person • This cover forms part of the Illness and Operation annual limits |
| DISABILITY COVER | WAITING PERIOD | MAXIMUM OVERALL LIMITS | |||||||||
| Accidental Disability | Immediate Cover | Up to R130 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability | Up to R130 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability | - | Up to R130 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability | Up to R130 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability | Up to R130 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability | Up to R130 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability | Up to R100 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability | Up to R130 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability | Up to R130 000.00 for the duration of the policy • Only the Principal Insured is covered • Including loss of limbs on a sliding scale from minor to 100% disability |
| DEATH COVER | WAITING PERIOD | MAXIMUM OVERALL LIMITS | |||||||||
| Family Death Cover | For accidental deaths there is no waiting period applicable For death related to natural causes, there is a 90 day waiting period | Pricipal Insured: R 15 000.00 Spouse/Partner: R 5 000.00 Children 14-21yrs: R 5 000.00 Children 6-13yrs: R 2 500.00 Children 1-5yrs: R 1 250.00 Children unborn (28 weeks) to 0yrs: R 750.00 | - | Pricipal Insured: R 15 000.00 Spouse/Partner: R 5 000.00 Children 14-21yrs: R 5 000.00 Children 6-13yrs: R 2 500.00 Children 1-5yrs: R 1 250.00 Children unborn (28 weeks) to 0yrs: R 750.00 | Pricipal Insured: R 10 000.00 Spouse/Partner: R 10 000.00 Children 14-21yrs: R 10 000.00 Children 6-13yrs: R 5 000.00 Children 1-5yrs: R 2 500.00 Children unborn (28 weeks) to 0yrs: R 1 250.00 | Pricipal Insured: R 5 000.00 Spouse/Partner: R 5 000.00 | Pricipal Insured: R 10 000.00 Spouse/Partner: R 10 000.00 Children 14-21yrs: R 10 000.00 Children 6-13yrs: R 5 000.00 Children 1-5yrs: R 2 500.00 Children unborn (28 weeks) to 0yrs: R 1 250.00 |
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| OPTOMETRY COVER | WAITING PERIOD | MAXIMUM OVERALL LIMITS | |||||||||
| Optometry | 12 Months | - | Comprehensive eye test. 1 set of Basic Frames (from a choice of 20) Lenses cut to suit frames • This cover can only be used once per 24 months • Basic Mono or bifocal lenses only • Only Eyenet optometrists nationwide can be used | - | - | ||||||
| DENTAL COVER | WAITING PERIOD | MAXIMUM OVERALL LIMITS | |||||||||
| Dental Procedures | 90 Days | - | Temporary Filling or Emergency Root Canal per Insured R 400.00 per emergency event • R 2 400.00 annual limit per year Temporary Crown per Insured R 500.00 per emergency event • R 2 500.00 annual limit per year Dental Extraction per Insured R 120.00 per tooth • No annual limits • Upgrades for more Cover are available | Temporary Filling or Emergency Root Canal per Insured R 400.00 per emergency event • R 2 400.00 annual limit per year Temporary Crown per Insured R1 000.00 per emergency event • R 5 000.00 annual limit per year Dental Extraction per Insured R 120.00 per tooth • No Annual limits Routine Filling per Insured R 250.00 per tooth • R 750.00 annual limit per year • Upgrades for more Cover are available | Temporary Filling or Emergency Root Canal per Insured R 400.00 per emergency event • R 2 400.00 annual limit per year Temporary Crown per Insured R 500.00 per emergency event • R 2 500.00 annual limit per year Dental Extraction per Insured R 120.00 per tooth • No annual limits • Upgrades for more Cover are available | Temporary Filling or Emergency Root Canal per Insured R 400.00 per emergency event • R 2 400.00 annual limit per year Temporary Crown per Insured R1 000.00 per emergency event • R 5 000.00 annual limit per year Dental Extraction per Insured R 120.00 per tooth • No Annual limits Routine Filling per Insured R 250.00 per tooth • R 750.00 annual limit per year • Upgrades for more Cover are available | Temporary Filling or Emergency Root Canal per Insured R 400.00 per emergency event • R 2 400.00 annual limit per year Temporary Crown per Insured R 1 000.00 per emergency event • R 5 000.00 annual limit per year Dental Extraction per Insured R 120.00 per tooth • No Annual limits Routine Filling per Insured R 250.00 per tooth • R 750.00 annual limit per year Root Canal per Insured R 750.00 per tooth • R 750.00 annual limit per year • Upgrades for more Cover are available | Temporary Filling or Emergency Root Canal per Insured R 400.00 per emergency event • R 2 400.00 annual limit per year Temporary Crown per Insured R 2 000.00 per emergency event • R 10 000.00 annual limit per year Dental Extraction per Insured R 120.00 per tooth • No Annual limits Routine Filling per Insured R 250.00 per tooth • R 2 500.00 annual limit per year Root Canal per Insured R 750.00 per tooth • R1 500.00 annual limit per year Impacted Tooth Removal per Insured R 500.00 per tooth • R 1 000.00 annual limit per year • Upgrades for more Cover are available | Temporary Filling or Emergency Root Canal per Insured R 400.00 per emergency event • R 2 400.00 annual limit per year Temporary Crown per Insured R 1 000.00 per emergency event • R 5 000.00 annual limit per year Dental Extraction per Insured R 120.00 per tooth • No Annual limits Routine Filling per Insured R 250.00 per tooth • R 750.00 annual limit per year • Upgrades for more Cover are available | - | - |
| ADDITIONAL COVER | WAITING PERIOD | MAXIMUM OVERALL LIMITS | |||||||||
| Emergency Assistance | Immediate Cover | 24hr Medical Assistance with an emergency dedicated line • In the event of a justifiable medical emergency, the Insured will be transported by ambulance to the nearest appropriate medical facility | - | 24hr Medical Assistance with an emergency dedicated line • In the event of a justifiable medical emergency, the Insured will be transported by ambulance to the nearest appropriate medical facility |
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| HIV/AIDS Anti-retroviral | 90 Days if newly diagnosed. 12 Months if pre-existing | - | Up to R10 000.00 per family per year | - | Up to R10 000.00 per family per year | ||||||
| Personal Protection Program | Immediate Cover | - | 2 incidents per year. In the case of crime related traumas we offer: • Telephonic or face-to-face counselling • Trauma related legal assistance • Shelter facilities in cases of domestic violence. In the case of accidental exposure to HIV: • Unlimited access to Care Centre for HIV information and advice • 2 blood tests • 31 day anti-retroviral or prophylactic therapy • STD preventative medication |
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| Please note this plan is for persons under the age of 65 years, persons over 55 years are subject to a loading fee REPATRIATION - This plan includes repatriation cover in the event of death | Please note this plan is for persons under the age of 65 years, persons over 55 years are subject to a loading fee | Please note this plan is for persons under the age of 65 years, persons over 55 years are subject to a loading fee REPATRIATION - This plan includes repatriation cover in the event of death | Please note this plan is for persons over the age of 65 years REPATRIATION - This plan includes repatriation cover in the event of death | Please note this plan is for persons under the age of 65 years, persons over 55 years are subject to a loading fee REPATRIATION - This plan includes repatriation cover in the event of death |
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