EXECUTIVE HOSPITAL PLAN
This section is underwritten by Onecard Management Services (PTY) Ltd and the Insurer is ABSA Insurance Risk Management T/A AIRMS
HOSPITAL RISK COVER
Accident Cover
Up to R200,000.00 per insured event
Up to R400,000.00 per family per year
- Excess of R500.00 per event is applicable
- Cover is immediate
Illness in Hospital
Up to R40 000.00 per insured per event
Up to R100 000.00 per family per event
Limited to an annual amount of R100 000.00 per family.
ONPLAN DISABILITY 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
Emergency Illness:
Up to R4,000.00 in an Accident and Emergency Unit for life threatening emergency medical treatment. Not intended to replace normal Medical Practitioner visits
- Excess of R600 during months 1-3 from the inception date and thereafter a excess of R200 will be payable for each and every claim
- Not intended to replace any cover provided under the Health Cover
Natural Birth and Emergency Caesareans:
Up to R40 000.00 per insured event per person
- This cover forms part of the Illness in Hospital annual limits
Emergency Assistance:
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
Dread Disease:
Up to R250,000.00 per defined disease per year
ONEPLAN DEATH COVER:
This section is underwritten by Onecard Management Services (PTY) Ltd and the Insurer is ABSA Insurance Risk Management T/A AIRMS
Principal Insured: R 10 000.00
Spouse/Partner: R 10 000.00
Children 14-21yrs: R 10 000.00
Children 6-13yrs: R 5000.00
Children 1-5yrs: R 2500.00
Children unborn (28 weeks) to 0yrs: R1250.00
- For accidental deaths there is no waiting period applied
- For death related to natural causes, there is a 90 day waiting period
- Cover includes repatriation
ONEPLAN DISABILITY 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
ADDITIONAL COVER:
OneCard Transactional Card:
Included in Policies with inception dates of 1st of July 2011
Existing Polices OneCards’s will be issued for activation 1st August 2011*
OneLifestyle:
Included in Policies with inception dates of 1st of July 2011
Existing Policy Holders will be called to activate this benefit by the 1st of August 2011*
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ELITE HOSPITAL PLAN
This section is underwritten by Onecard Management Services (PTY) Ltd and the Insurer is ABSA Insurance Risk Management T/A AIRMS
HOSPITAL RISK COVER
Accident Cover:
Up to R 300 000.00 per insured event
Up to R 500 000.00 per family per year
- Excess of R500.00 per event is applicable
- Cover is immediate
Illness and in Hospital:
Up to R 75 000.00 per insured per event
Up to R 200 000.00 per family per event
Emergency Illness:
Up to R4000.00 in an Accident and Emergency Unit for life threatening emergency medical treatment
- Excess of R600 during months 1-3 from the inception date and thereafter a excess of R200 will be payable for each and every claim
- Not intended to replace any cover provided under the Health Cover
Natural Birth and Emergency Caesareans:
Up to R75 000.00 per insured event per person
- This cover forms part of the Illness in Hospital annual limits
Emergency Assistance:
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
Dread Disease:
Up to R250 000.00 per defined disease per year
ONPLAN DEATH COVER:
Principal Insured: R 10 000.00
Spouse/Partner: R 10 000.00
Children 14-21yrs: R 10 000.00
Children 6-13yrs: R 5000.00
Children 1-5yrs: R 2500.00
Children unborn (28 weeks) to 0yrs: R 1250.00
- For accidental deaths there is no waiting period applied
- For death related to natural causes, there is a 90 day waiting period
- Cover includes repatriation
ONPLAN DISABILITY 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
ADDITIONAL COVER|:
OneCard Transactional Mastercard:
Included in Policies with inception dates of 1st of July 2011
Existing Polices OneCards’s will be issued for activation 1st August 2011*
OneLifestyle:
Included in Policies with inception dates of 1st of July 2011
Existing Policy Holders will be called to activate this benefit by the 1st of August 2011*
| Waiting Periods for Elite and Executive Hospital from the date of Inception: | |
| Hospitalisation due to an Accident | Immediately |
| Disability | Immediately |
| Emergency Illness covering up to R4000.00 | Immediately |
| Emergency Assistance | Immediately |
| Illness and Operation Hospitalisation | 90 Days |
| Natural Birth and emergency Cesareans | 12 Months |
| Dread Disease | Newly diagnosed Dread Diseases within the first 3 months will be regarded as a pre-existing condition. Where a Dread Disease occurs 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. |
| Oneplan Death Cover | 90 Days for Natural death and Immediate for accidental death |
Please note this plan is for persons under the age of 65 years. Waiting periods are applicable
All pre-existing conditions (known or unknown) will be subject to a 12 month waiting period or exclusion or Loading
Please note that there is a once-off initiation fee of R100.00 which will be debited with your first premium