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Unexpected Medical Bills? Get Affordable Health Insurance with Oneplan

  • Private Hospital Cover for Casualty, Accident and Illness cover
  • Doctor’s Visits
  • Dentistry
  • Birth cover
  • Blood Tests
  • Optometry Cover
  • X-Rays & MORE

Scroll down for more information on the health plan benefits

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

Core Plan

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Click to Download Plan Brochure

R 420 pm

  • 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
  • Call Me
  • Sign Up Online
Blue Plan

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Click to Download Plan Brochure

R 830 pm

  • 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
  • Call Me
  • Sign Up Online
Professional Plan

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R 1115 pm

  • 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

Click to drop down benefits

Click to Download Plan Brochure

R 1465 pm

  • 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

Life is complicated, insurance
shouldn’t be …

Oneplan Health Insurance has simplified insurance, making it easier for you to insure the things that matter most.
Medical aid too expensive?
Get affordable easy to understand, easy to apply and easy to use health insurance
that doesn’t compromise on quality.
With Oneplan Health insurance you get paid BEFORE you see the doctor.
PLUS, you can choose to stay with the doctor of your choice, no network lists required.
Say goodbye to paperwork and claim through the Oneplan App in one minute.*

  • One minute to get insured.
  • One minute to claim.
  • One minute to get paid.*
  • It really is that simple …

For the expected, unexpected and everything in between – Choose Oneplan Health Insurance

Choose Smart Instant Health Insurance with Oneplan

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Our Claims Process

Our Easy 4 Step Claim Process

  • download the oneplan health insurance app on the google playstore

    Login to the
    Oneplan App

  • download the oneplan health insurance app on the google playstore

    Load a Claim


  • download the oneplan health insurance app on the google playstore

    Money will be
    loaded onto
    your Onecard

  • download the oneplan health insurance app on the google playstore

    You can then
    swipe at
    your Doctor

Click here for more info on how to claim