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.

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R 333 pm

  • General Practitioner (Doctor)
    Up to R 300 per visit
  • Scripted Medication
    Up to R133 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Pathology
    Up to R390 per event.
  • Radiology
    Up to R390 per event.
  • Dentistry
    Up to R520 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.


  • Maternity Pre Birth
    Up to R520 per visit. 3 Visits per Pregnancy. Annual limit of R 1566.
  • Optometry
    Up to R920 - Limited to claim this every 24 months per dependant.
  • Casualty Illness
    Up to R4800 for life threatening emergency illness in casualty units. Excess:4 months plus - R200
  • Casualty Accident
    Up to R4800 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 R130 000 per insured event. Up to R260 000 per family per event. Excess: R500 | 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 R170 000 for the duration fo the policy. only principal insured is covered.
  • Family Death Cover
    Principal Insured: R6 500 | Spouse/Partner:R6 500 | Children 14-21 yrs:R6 500 Children 6-13 yrs R3 250 | Children 1-5 yrs R1 600 Children unborn(28 weeks) to 0 yrs: R980
  • 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.
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R 625 pm

  • General Practitioner (Doctor)
    Up to R 310 per visit
  • Scripted Medication
    Up to R145 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Pathology
    Up to R390 per event.
  • Radiology
    Up to R390 per event.
  • Dentistry
    Up to R525 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.


  • Maternity Pre Birth
    Up to R525 per visit. 3 Visits per Pregnancy. Annual limit of R1 566.
  • Optometry
    Up to R925 - 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 R175 000 per insured event. Up to R350 000 per family per event. Excess: R500 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R40 000 per insured event p/p. Up to R110 000 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R245 000 per defined disease per year.
  • Natural Birth and Emergency Caesareans
    Up to R40 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Accident Disability
    Up to R175 000 for the duration fo the policy. only principal insured is covered.
  • Family Death Cover
    Principal Insured: R6 500 | Spouse/Partner:R6 500 | Children 14-21 yrs:R6 500 Children 6-13 yrs R3 250 | Children 1-5 yrs R1 650 Children unborn(28 weeks) to Oyrs: R980
  • 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.
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R 842 pm

  • General Practitioner (Doctor)
    Up to R 330 per visit
  • Scripted Medication
    Up to R213 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Pathology
    Up to R450 per event.
  • Radiology
    Up to R450 per event.
  • Dentistry
    Up to R650 per visit. Max of 3 visits a year.
  • Specialist Cover
    NOT COVERED ON THIS PLAN.


  • Maternity Pre Birth
    Up to R530 per visit. 3 Visits per Pregnancy. Annual limit of R 1580.
  • Optometry
    Up to R1 320 - 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 R200 000 per insured event. Up to R400 000 per family per event. Excess: R500 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R52 000 per insured event p/p. Up to R130 000 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R270 000 per defined disease per year
  • Natural Birth and Emergency Caesareans
    Up to R52 000 per insured event p/p. Cover forms part of illness and operations annual limits. Excess: 10% of claim amount.
  • Accident Disability
    Up to R180 000 for the duration fo the policy. only principal insured is covered.
  • Family Death Cover
    Principal Insured: R13 200 | Spouse/Partner:R13 200 | Children 14-21 yrs:R13 200 Children 6-13 yrs R6 500 | Children 1-5 yrs R3 250 Children unborn(28 weeks) to 0 yrs: R1 650
  • Trauma,Assault and Accidental HIV
    Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
  • Repatriation
    Up to R13 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 1034 pm

  • General Practitioner (Doctor)
    Up to R 340 per visit
  • Scripted Medication
    Up to R250 per script. Paid through Mediscor electronic claim system. No over counter medication.
  • Pathology
    Up to R575 per event
  • Radiology
    Up to R575 per event
  • Dentistry
    Up to R765 per visit. Max of 3 visits a year.
  • Specialist Cover
    Up to R1 900 per visit. 3 visits per family per year. Referral from GP required and subject to authorisation.
  • Maternity Pre Birth
    Up to R550 per visit. 4 Visits per Pregnancy. Annual limit of R 2050.
  • Optometry
    Up to R1 299 - 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 R275 000 per insured event. Up to R560 000 per family per event. Excess: R600 | Contact sport -15% of claim amount (12 months waiting period)
  • Illness In Hospital
    Up to R64 000 per insured event p/p. Up to R160 000 per insured per year. Excess:4-6 Months - 15% | 7 months onwards - 5%
  • Dread Disease
    Up to R320 000 per defined disease per year.
  • Natural Birth and Emergency Caesareans
    Up to R64 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 fo the policy. only principal insured is covered.
  • Family Death Cover
    Principal Insured: R13 500 | Spouse/Partner:R13 500 | Children 14-21 yrs:R13 500 Children 6-13 yrs R6 500 | Children 1-5 yrs R3 250 Children unborn(28 weeks) to 0 yrs: R1 650
  • 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