Health Plans

Please select the plan you would like to be quoted on by ticking the top box and clicking proceed once you have made your choice.

These prices and benefits are effective from the 1st of March 2019

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R 365 pm

  • General Practitioner (Doctor)
    Up to R 320 per visit
  • Scripted Medication
    Up to R145 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Pathology
    Up to R405 per event.
  • Radiology
    Up to R405 per event.
  • Dentistry
    Up to R550 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.


  • Maternity Pre Birth
    Up to R555 per visit. 3 Visits per Pregnancy. Annual limit of R 1670.
  • Optometry
    Up to R950 - Limited to claim this every 24 months per dependant.
  • Casualty Illness
    Up to R4900 for life threatening emergency illness in casualty units. Excess:4 months plus - R200
  • Casualty Accident
    Up to R4900 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 R140 000 per insured event. Up to R280 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


  • Accident Disability
    Up to R180 000 for the duration of the policy. only principal insured is covered.
  • Family Death Cover
    Principal Insured: R7 500 | Spouse/Partner:R7 500 | Children 14-21 yrs:R7 500 Children 6-13 yrs R3 750 | Children 1-5 yrs R1 850 Children unborn(28 weeks) to 0 yrs: R1 100
  • Trauma,Assault and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • 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.
Click to download brochure

R 690 pm

  • General Practitioner (Doctor)
    Up to R 330 per visit
  • Scripted Medication
    Up to R165 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Pathology
    Up to R410 per event.
  • Radiology
    Up to R410 per event.
  • Dentistry
    Up to R560 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.


  • Maternity Pre Birth
    Up to R560 per visit. 3 Visits per Pregnancy. Annual limit of R1 670.
  • Optometry
    Up to R980 - 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 R190 000 per insured event. Up to R380 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R45 000 per insured event p/p. Up to R123 750 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R260 000 per defined disease per year.
  • Natural Birth and Emergency Caesareans
    Up to R45 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Accident Disability
    Up to R190 000 for the duration of the policy. Only principal insured is covered.
  • Family Death Cover
    Principal Insured: R7 500 | Spouse/Partner:R7 500 | Children 14-21 yrs:R7 500 Children 6-13 yrs R3 750 | Children 1-5 yrs R1 900 Children unborn(28 weeks) to Oyrs: R1 100
  • Trauma,Assault and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • 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.
Click to download brochure

R 947 pm

  • General Practitioner (Doctor)
    Up to R345 per visit
  • Scripted Medication
    Up to R228 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Pathology
    Up to R480 per event.
  • Radiology
    Up to R480 per event.
  • Dentistry
    Up to R695 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.


  • Maternity Pre Birth
    Up to R565 per visit. 3 Visits per Pregnancy. Annual limit of R1 685.
  • Optometry
    Up to R1 400 - 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 R220 000 per insured event. Up to R440 000 per family per event. Excess: R500 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R55 000 per insured event p/p. Up to R137 500 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R275 000 per defined disease per year
  • Natural Birth and Emergency Caesareans
    Up to R55 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Accident Disability
    Up to R200 000 for the duration of the policy. only principal insured is covered.
  • Family Death Cover
    Principal Insured: R14 000 | Spouse/Partner:R14 000 | Children 14-21 yrs:R14 000 Children 6-13 yrs R6 900 | Children 1-5 yrs R3 450 Children unborn(28 weeks) to 0 yrs: R1 750
  • Trauma,Assault and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • 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.
Click to download brochure

R 1180 pm

  • General Practitioner (Doctor)
    Up to R360 per visit
  • Scripted Medication
    Up to R265 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Pathology
    Up to R600 per event
  • Radiology
    Up to R600 per event
  • Dentistry
    Up to R800 per visit. Max of 3 visits a year.
  • Specialist Cover
    Up to R2 000 per visit. 3 visits per family per year. Referral from GP required and subject to authorisation.
  • Maternity Pre Birth
    Up to R600 per visit. 4 Visits per Pregnancy. Annual limit of R2 220.
  • Optometry
    Up to R1 500 - Limited to claim this every 24 months per dependant.
  • Casualty Illness
    Up to R5 200 for life threatening emergency illness in casualty units. Excess:4 months plus - R200
  • Casualty Accident
    Up to R5 200 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 R290 000 per insured event. Up to R580 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R68 500 per insured event p/p. Up to R171 250 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R340 000 per defined disease per year.
  • Natural Birth and Emergency Caesareans
    Up to R68 500 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Accident Disability
    Up to R200 000 for the duration of the policy. only principal insured is covered.
  • Family Death Cover
    Principal Insured: R20 000 | Spouse/Partner:R20 000 | Children 14-21 yrs:R20 000 Children 6-13 yrs R9 600 | Children 1-5 yrs R4 800 Children unborn(28 weeks) to 0 yrs: R2 450
  • Trauma,Assault and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • Repatriation
    Up to R13 500 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.

Oneplan Health Legal Documentation