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 monthly premiums from just R500 per month.
Pay for doctor visits with your preloaded Oneplan Claim Card.
Access to private hospitals and other out-of-hospital benefits.
A dedicated claims team with nurses available to assist you when you need them most.
(30 days waiting period)
(30 days waiting period)
(30 days waiting period)
(30 days waiting period)
(Must be referred by a medical practitioner)
(30 days waiting period)
(Must be referred by a medical practitioner)
(90 days waiting period)
(90 days waiting period)
(Must be referred by a medical practitioner)
Confirmation of pregnancy required
(12 months waiting period)
(90 days waiting period)
(Immediate)
(Immediate)
(90 days waiting period)
(Certain conditions are excluded
for 12 Months))
(6 months waiting period)
(12 months waiting period)
(In-Hospital Cover within the first 4 weeks from birth)
(12 months waiting period)
(Immediate)
(Immediate)
(Immediate)
Accidental death
(Immediate)
(Immediate)
• 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
|
Excess Buster
|
Waive Excess for R15 per person per month |
|---|
|
DAY-TO-DAY ANNUAL LIMIT
|
Single: R8 060 2 or 3: R13 465 4 plus: R16 765 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R400 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R170 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R170 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R485 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R485 per event. |
|
Dentistry
(90 days waiting period) |
Up to R650 per visit. |
|
Specialist Cover
(Must be referred by a medical practitioner) (90 days waiting period) |
Not available for this plan Not |
|
Maternity Pre-Birth
Confirmation of pregnancy required (Must be referred by a medical practitioner) (7 months applicable to new policies) |
Up to R650 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 130. |
|
Casualty Illness
(90 days waiting period) |
Up to R5 800. |
|---|---|
|
Casualty Accident
(Immediate) |
Up to R5 800. |
|
Accident Cover
(Immediate) |
* Up to R190 000 per insured event. |
|
Illness in Hospital
(90 days waiting period) (Certain conditions are excluded for 12 Months) |
* Up to R45 000 per insured event |
|
Dread Disease
(6 Months waiting period) |
Not available for this plan |
|
Natural Birth &
Emergency Caesareans
(12 Months waiting period) |
Not available for this plan |
|
Neonatal
(In-Hospital Cover within the first 4 weeks from birth) 12 Months |
Not available for this plan |
|
Repatriation
(Immediate) |
Up to R15 000 per insured person. |
|
Ambulance & Emergency Services
(Immediate) |
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
(Immediate) |
Up to R210 000 for the duration of the policy. |
|---|---|
|
Family Death Cover
Accidental Death (Immediate) |
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
(Immediate) |
Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment. |
|
Excess Buster
|
Waive Excess for R25 per person per month |
|---|
|
DAY-TO-DAY ANNUAL LIMIT
|
Single: R8 650 2 or 3: R13 520 4 plus: R17 845 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R420 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R190 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R190 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R505 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R505 per event. |
|
Dentistry
(90 days waiting period) |
Up to R685 per visit. |
|
Specialist Cover
(Must be referred by a medical practitioner) (90 days waiting period) |
Not available for this plan |
|
Maternity Pre-Birth
Confirmation of pregnancy required (Must be referred by a medical practitioner) (7 months applicable to new policies) |
Up to R660 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 215. |
|
Casualty Illness
(90 days waiting period) |
Up to R5 800. |
|---|---|
|
Casualty Accident
(Immediate) |
Up to R5 800. |
|
Accident Cover
(Immediate) |
* Up to R245 000 per insured event. |
|
Illness in Hospital
(90 days waiting period) (Certain conditions are excluded for 12 Months) |
* Up to R70 000 per insured event p/p. |
|
Dread Disease
(6 Months waiting period) |
Up to R340 000 per defined disease per year. |
|
Natural Birth &
Emergency Caesareans
(12 Months waiting period) |
* Up to R55 000 per insured event p/p. |
|
Neonatal
(In-Hospital Cover within the first 4 weeks from birth) (12 Months waiting period) |
* Up to R55 000 per insured event p/p. |
|
Repatriation
(Immediate) |
Up to R15 000 per insured person. |
|
Ambulance & Emergency Services
(Immediate) |
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
(Immediate) |
Up to R220 000 for the duration of the policy. |
|---|---|
|
Family Death Cover
Accidental Death (Immediate) |
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
(Immediate) |
Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment. |
|
Excess Buster
|
Waive Excess for R15 per person per month |
|---|
|
DAY-TO-DAY ANNUAL LIMIT
|
Single: R8 060 2 or 3: R13 465 4 plus: R16 765 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R400 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R170 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R170 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R485 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R485 per event. |
|
Dentistry
(90 days waiting period) |
Up to R650 per visit. |
|
Specialist Cover
(Must be referred by a medical practitioner) (90 days waiting period) |
Not available for this plan Not |
|
Maternity Pre-Birth
Confirmation of pregnancy required (Must be referred by a medical practitioner) (7 months applicable to new policies) |
Up to R650 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 130. |
|
Casualty Illness
(90 days waiting period) |
Up to R5 800. |
|---|---|
|
Casualty Accident
(Immediate) |
Up to R5 800. |
|
Accident Cover
(Immediate) |
* Up to R190 000 per insured event. |
|
Illness in Hospital
(30 days waiting period) Certain conditions are excluded for 12 Months) |
Not available for this plan |
|
Dread Disease
(6 Months waiting period) |
Not available for this plan |
|
Natural Birth &
Emergency Caesareans
(12 Months waiting period) |
Not available for this plan |
|
Neonatal
(In-Hospital Cover within the first 4 weeks from birth) (12 Months waiting period) |
Not available for this plan |
|
Repatriation
(Immediate) |
Up to R15 000 per insured person. |
|
Ambulance & Emergency Services
(Immediate) |
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
(Immediate) |
Up to R210 000 for the duration of the policy. |
|---|---|
|
Family Death Cover
Accidental Death (Immediate) |
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
(Immediate) |
Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment. |
|
Excess Buster
|
Waive Excess for R40 per person per month |
|---|
|
DAY-TO-DAY ANNUAL LIMIT
|
Single: R12 490 2 or 3: R19 415 4 plus: R24 065 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R475 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R275 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R275 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R555 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R555 per event. |
|
Dentistry
(90 days waiting period) |
Up to R810 per visit. |
|
Specialist Cover
(Must be referred by a medical practitioner) (90 days waiting period) |
Not available for this plan |
|
Maternity Pre-Birth
Confirmation of pregnancy required (Must be referred by a medical practitioner) (7 months applicable to new policies) |
Up to R665 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 595. |
|
Casualty Illness
(90 days waiting period) |
Up to R6 000. |
|---|---|
|
Casualty Accident
(Immediate) |
Up to R6 000. |
|
Accident Cover
(Immediate) |
* Up to R265 000 per insured event. |
|
Illness in Hospital
(90 days waiting period) (Certain conditions are excluded for 12 Months) |
* Up to R75 000 per insured event p/p. |
|
Dread Disease
(6 Months waiting period) |
Up to R350 000 per defined disease per year. |
|
Natural Birth &
Emergency Caesareans
(12 Months waiting period) |
* Up to R65 000 per insured event p/p. |
|
Neonatal
(In-Hospital Cover within the first 4 weeks from birth) (12 Months waiting period) |
* Up to R65 000 per insured event p/p. |
|
Repatriation
(Immediate) |
Up to R15 000 per insured person. |
|
Ambulance & Emergency Services
(Immediate) |
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
(Immediate) |
Up to R230 000 for the duration of the policy. |
|---|---|
|
Family Death Cover
Accidental Death (Immediate) |
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
(Immediate) |
Trauma and Assault Counselling, Accidental HIV Protection Services, Accidental HIV Infection Treatment. |
|
Excess Buster
|
Waive Excess for R40 per person per month |
|---|
|
DAY-TO-DAY ANNUAL LIMIT
|
Single: R18 165 2 or 3: R26 770 4 plus: R32 175 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R550 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R315 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R315 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R695 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R695 per event. |
|
Dentistry
(90 days waiting period) |
Up to R905 per visit. |
|
Specialist Cover
(Must be referred by a medical practitioner) (90 days waiting period) |
Up to R2 215 per visit. |
|
Maternity Pre-Birth
Confirmation of pregnancy required (Must be referred by a medical practitioner) (7 months applicable to new policies) |
Up to R705 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 760. |
|
Casualty Illness
(90 days waiting period) |
Up to R6 200. |
|---|---|
|
Casualty Accident
(Immediate) |
Up to R6 200. |
|
Accident Cover
(Immediate) |
* Up to R350 000 per insured event. |
|
Illness in Hospital
(90 days waiting period) (Certain conditions are excluded for 12 Months) |
* Up to R85 000 per insured event p/p. |
|
Dread Disease
(6 Months waiting period) |
Up to R395 000 per defined disease per year. |
|
Natural Birth &
Emergency Caesareans
(12 Months waiting period) |
* Up to R75 000 per insured event p/p. |
|
Neonatal
(In-Hospital Cover within the first 4 weeks from birth) (12 Months waiting period) |
* Up to R75 000 per insured event p/p. |
|
Repatriation
(Immediate) |
Up to R15 000 per insured person. |
|
Ambulance & Emergency Services
(Immediate) |
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
(Immediate) |
Up to R230 000 for the duration of the policy. |
|---|---|
|
Family Death Cover
Accidental Death (Immediate) |
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
(Immediate) |
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
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 monthly premiums from just R500 per month.
Pay for doctor visits with your preloaded Oneplan Claim Card.
Access to private hospitals and other out-of-hospital benefits.
A dedicated claims team with nurses available to assist you when you need them most.
Oneplan uses DebiCheck, to ensure our clients’ debit orders with us are safe, protected and permission controlled
Oneplan™ is administered by Oneplan Underwriting Managers (Pty) Ltd, an authorised financial services provider FSP43628. Oneplan is not a benefit option regulated by the Medical Schemes Act, but a short-term insurance product underwritten by Bryte Insurance Company Limited a licensed insurer and an authorised FSP (17703).
download plan brochure