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 R250 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.
DO ONE THING THIS YEAR.
Be prepared for those unexpected trips to the Doctor or Casualty with Oneplan Health Insurance.
Important Notice: New updates to benefits, premiums and changes to policy effective 1 February 2026.
• 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
DO ONE THING THIS YEAR.
Be prepared for those unexpected trips to the Doctor or Casualty with Oneplan Health Insurance.
Important Notice: New updates to benefits, premiums and changes to policy effective 1 February 2026.
|
Excess Buster
|
Not available on this plan. |
|---|
|
DAY-TO-DAY ANNUAL LIMIT
|
Single: R7 450 2 or 3: R12 450 4 plus: R15 500 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R370 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R170 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Not available on this plan |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R445 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R445 per event. |
|
Dentistry
(90 days waiting period) |
Up to R600 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 (7 months applicable to new policies) |
Up to R650 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 045. |
| In-hospital benefits not available on this plan. |
|---|
|
Accident Disability
(Immediate) |
Not available on this plan |
|---|---|
|
Family Death Cover
Accidental Death (Immediate) |
Not available on this plan |
|
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 465 2 or 3: R14 140 4 plus: R17 605 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R420 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R180 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R180 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R510 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R510 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 Not |
|
Maternity Pre-Birth
Confirmation of pregnancy required (7 months applicable to new policies) |
Up to R685 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 185. |
|
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 Stabilisation
(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 R15 per person per month |
|---|
|
DAY-TO-DAY ANNUAL LIMIT
|
Single: R8 465 2 or 3: R14 140 4 plus: R17 605 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R420 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R180 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R180 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R510 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R510 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 Not |
|
Maternity Pre-Birth
Confirmation of pregnancy required (7 months applicable to new policies) |
Up to R685 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 185. |
|
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 Stabilisation
(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: R9 085 2 or 3: R14 195 4 plus: R18 735 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R440 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R200 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R200 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R530 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R530 per event. |
|
Dentistry
(90 days waiting period) |
Up to R720 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 (7 months applicable to new policies) |
Up to R695 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 275. |
|
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 Stabilisation
(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 R40 per person per month |
|---|
|
DAY-TO-DAY ANNUAL LIMIT
|
Single: R13 115 2 or 3: R20 385 4 plus: R25 270 |
|---|---|
|
Doctor’s Visits
(30 days waiting period) |
Up to R500 per visit. |
|
Scripted Medication
(30 days waiting period) |
Up to R290 per script. |
|
Over-the-Counter Medication
(30 days waiting period) |
Up to R290 per annum. |
|
Pathology / Blood Tests
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R585 per event. |
|
Radiology / X-Rays
(Must be referred by a medical practitioner) (30 days waiting period) |
Up to R585 per event. |
|
Dentistry
(90 days waiting period) |
Up to R850 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 (7 months applicable to new policies) |
Up to R700 per visit. |
|
Optometry
(12 Months waiting period) |
Up to R1 675. |
|
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 Stabilisation
(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 (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 Stabilisation
(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 R250 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.