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Private Hospital Cover, upfront Day-to-Day Visits, and hassle-free insurance with Oneplan.


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No more waiting. It’s time to choose your affordable Medical Plan.

The Oneplan Claim Card and App gives you the tools you need to be prepared for life’s little & BIG surprises!


To get your personalised quote, select the plan you would like to be quoted on by ticking the top left box to proceed.

WHAT YOU GET - CORE PLAN

Day-to-Day Health Benefits:

Doctor’s Visits

Up to R400 per visit
(30 days waiting period)

Scripted Medication

Up to R170 per script. Paid through Mediscor
electronic claim system. No over counter medication.
(30 days waiting period)

Over-the-Counter Medication

Up to R170 per annum.
(30 days waiting period)

Pathology / Blood Tests

Up to R485 per event.
(30 days waiting period)

Radiology / X-Rays

Up to R485 per event.
(30 days waiting period)

Dentistry

Up to R650 per visit.
(90 days waiting period)

Specialist Cover

Not available for this plan

Maternity Pre-Birth

Up to R650 per visit. 3 Visits per Pregnancy.
Annual limit of R1 955.
(7 months applicable to new policies)

Optometry

Up to R1 130 - Limited to claim this every
24 months per dependant.
(12 months waiting period)

Maximum overall limits for Day-to-Day Benefits

Single: R8 060
Couple / Dependant 2-3: R13 465
Dependant 4+: R16 765

In-Hospital Benefits:
(Netcare, Mediclinic, Life and others)

Casualty Illness

Up to R5 600 for life threatening emergency illness
in casualty unit that does not result in admission.
(90 days waiting period)
Excess Applies

 

Casualty Accident

Up to R5 600 for accident events in casualty in casualty units that does not result in admission.
(Immediate)
Excess Applies

 

Accident Cover

Up to R175 000 per insured event. Up to R350 000 per family per event.
Excess: R600 | Contact sport - 15% of claim amount
(Immediate for Accident in Hospital cover)
(12 months waiting period for contact sport)

Repatriation

Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.
(Immediate)

 

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.
(Immediate)

Additional Cover built into your policy:

Accident Disability

Up to R210 000 for the duration fo the policy.
only principal insured is covered.
(Immediate)

Family Death Cover (Accident Only)

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
(Immediate)

Trauma, Assault and Accidental HIV

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
(Immediate)

OPTIONAL ADD-ON PRODUCT

Excess Buster

Waive Excesses for R15 per person

WHAT YOU GET - CORE PLUS PLAN

Day-to-Day Health Benefits:

Doctor’s Visits

Up to R400 per visit
(30 days waiting period)

Scripted Medication

Up to R170 per script. Paid through Mediscor
electronic claim system. No over counter medication.
(30 days waiting period)

Over-the-Counter Medication

Up to R170 per annum.
(30 days waiting period)

Pathology / Blood Tests

Up to R485 per event.
(30 days waiting period)

Radiology / X-Rays

Up to R485 per event.
(30 days waiting period)

Dentistry

Up to R650 per visit.
(90 days waiting period)

Specialist Cover

Not available for this plan

Maternity Pre-Birth

Up to R650 per visit. 3 Visits per Pregnancy.
Annual limit of R1 955.
(7 months applicable to new policies)

Optometry

Up to R1 130 - Limited to claim this every
24 months per dependant.
(12 months waiting period)

Maximum overall limits for Day-to-Day Benefits

Single: R8 060
Couple / Dependant 2-3: R13 465
Dependant 4+: R16 765

In-Hospital Benefits:
(Netcare, Mediclinic, Life and others)

Casualty Illness

Up to R5 600 for life threatening emergency illness
in casualty unit that does not result in admission.
(90 days waiting period)
Excess Applies

 

Casualty Accident

Up to R5 600 for accident events in casualty in casualty units that does not result in admission.
(Immediate)
Excess Applies

 

Accident Cover

Up to R175 000 per insured event. Up to R350 000 per family per event.
Excess: R600 | Contact sport - 15% of claim amount
(Immediate for Accident in Hospital cover)
(12 months waiting period for contact sport)


Illness in Hospital

Up to R35 000 per insured event p/p. Up to R87 500 per insured per year.
Excess: 4-6 Months - 15% | 7 months onwards - 5%
(90 Days - Certain conditions are excluded for 12 Months)




Repatriation

Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.
(Immediate)

 


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.
(Immediate)

 

Additional Cover built into your policy:

Accident Disability

Up to R210 000 for the duration fo the policy.
only principal insured is covered.
(Immediate)

Family Death Cover (Accident Only)

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
(Immediate)

Trauma, Assault and Accidental HIV

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
(Immediate)

OPTIONAL ADD-ON PRODUCT

Excess Buster

Waive Excesses for R15 per person

WHAT YOU GET - BLUE PLAN

Day-to-Day Health Benefits:

Doctor’s Visits

Up to R420 per visit
(30 days waiting period)

Scripted Medication

Up to R190 per script. Paid through Mediscor
electronic claim system. No over counter medication.
(30 days waiting period)

Over-the-Counter Medication

Up to R190 per annum.
(30 days waiting period)

Pathology / Blood Tests

Up to R505 per event.
(30 days waiting period)

Radiology / X-Rays

Up to R505 per event.
(30 days waiting period)

Dentistry

Up to R685 per visit.
(90 days waiting period)

Specialist Cover

Not available for this plan

Maternity Pre-Birth

Up to R660 per visit. 3 Visits per Pregnancy.
Annual limit of R 1 985.
(7 months applicable to new policies)

Optometry

Up to R1 215 - Limited to claim this every
24 months per dependant.
(12 months waiting period)

Maximum overall limits for Day-to-Day Benefits

Single: R8 650
Couple / Dependant 2-3: R13 520
Dependant 4+: R17 845

In-Hospital Benefits:
(Netcare, Mediclinic, Life and others)

Casualty Illness

Up to R5 600 for life threatening emergency illness
in casualty units that does not result in admission.
(90 days waiting period)

Casualty Accident

Up to R5 600 for accident events in casualty units
that does not result in admission.
Excess: 0-3 Months - 15 % | 4 months plus - R200
(Immediate)

Accident Cover

Up to R230 000 per insured event. Up to R460 000 per family
per event.
Excess: R600 | Contact sport - 15% of claim amount
(Immediate for Accident in Hospital cover)
(12 months waiting period for contact sport)

Illness In Hospital

Up to R60 000 per insured event p/p. Up to R150 000 per insured per year.
Excess: 4-6 Months - 15% | 7 months onwards - 5%
(90 Days - Certain conditions are excluded for 12 Months)

Dread Disease

Up to R315 000 per defined disease per year.
(6 months waiting period)

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.
(12 months waiting period)

Neonatal

Up to R55 000 per insured event p/p. Cover forms part
of illness in Hospital annual limit.
Excess: 10% of claim amount.
(12 months waiting period)

Repatriation

Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.
(Immediate)

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.
(Immediate)

Additional Cover built into your policy:

Accident Disability

Up to R220 000 for the duration fo the policy.
only principal insured is covered.
(Immediate)

Family Death Cover (Accident Only)

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
(Immediate)

Trauma, Assault and Accidental HIV

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
(Immediate)

OPTIONAL ADD-ON PRODUCT

Excess Buster

Waive Excesses for R25 per person

WHAT YOU GET - PROFESSIONAL PLAN

Day-to-Day Health Benefits:

Doctor’s Visits

Up to R475 per visit
(30 days waiting period)

Scripted Medication

Up to R275 per script. Paid through Mediscor
electronic claim system. No over counter medication.
(30 days waiting period)

Over-the-Counter Medication

Up to R275 per annum.
(30 days waiting period)

Pathology / Blood Tests

Up to R555 per event.
(30 days waiting period)

Radiology / X-Rays

Up to R555 per event.
(30 days waiting period)

Dentistry

Up to R810 per visit.
(90 days waiting period)

Specialist Cover

Not available for this plan

Maternity Pre-Birth

Up to R665 per visit. 3 Visits per Pregnancy.
Annual limit of R2 000.
(7 months applicable to new policies)

Optometry

Up to R1 595 - Limited to claim this every
24 months per dependant.
(12 months waiting period)

Maximum overall limits for Day-to-Day Benefits

Single: R12 490
Couple / Dependant 2-3: R19 415
Dependant 4+: R24 065

In-Hospital Benefits:
(Netcare, Mediclinic, Life and others)

Casualty Illness

Up to R5 800 for life threatening emergency illness
in casualty units that does not result in admission.
(90 days waiting period)

Casualty Accident

Up to R5 800 for accident events in casualty units
that does not result in admission.
Excess: 0-3 Months - 15 % | 4 months plus - R200
(Immediate)

Accident Cover

Up to R260 000 per insured event. Up to R520 000 per family
per event.
Excess: R600 | Contact sport -15% of claim amount
(Immediate for Accident in Hospital cover)
(12 months waiting period for contact sport)

Illness In Hospital

Up to R68 000 per insured event p/p. Up to R170 000 per insured per year.
Excess: 4-6 Months - 15% | 7 months onwards - 5%
(90 days waiting period - Certain conditions are excluded for 12 Months)

Dread Disease

Up to R335 000 per defined disease per year.
(6 months waiting period)

Natural Birth and Emergency Caesareans

Up to R65 000 per insured event p/p. Cover forms part
of illness and operations annual limits.
Excess: 10% of claim amount.
(12 months waiting period)

Neonatal

Up to R65 000 per insured event p/p. Cover forms part
of illness in Hospital annual limit.
Excess: 10% of claim amount.
(12 months waiting period)

Repatriation

Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.
(Immediate)

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.
(Immediate)

Additional Cover built into your policy:

Accident Disability

Up to R230 000 for the duration fo the policy.
only principal insured is covered.
(Immediate)

Family Death Cover (Accident Only)

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
(Immediate)

Trauma, Assault and Accidental HIV

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
(Immediate)

OPTIONAL ADD-ON PRODUCT

Excess Buster

Waive Excesses for R40 per person

WHAT YOU GET - EXECUTIVE PLAN

Day-to-Day Health Benefits:

Doctor’s Visits

Up to R550 per visit
(30 days waiting period)

Scripted Medication

Up to R315 per script. Paid through Mediscor
electronic claim system. No over counter medication.
(30 days waiting period)

Over-the-Counter Medication

Up to R315 per annum.
(30 days waiting period)

Pathology / Blood Tests

Up to R695 per event.
(30 days waiting period)

Radiology / X-Rays

Up to R695 per event.
(30 days waiting period)

Dentistry

Up to R905 per visit.
(90 days waiting period)

Specialist Cover

Up to R2 215 per visit. 3 visits per family per year.
Referral from GP required and subject to authorisation.
(90 days waiting period)

Maternity Pre-Birth

Up to R705 per visit. 4 Visits per Pregnancy.
Annual limit of R2 810.
(7 months applicable to new policies)

Optometry

Up to R1 760 - Limited to claim this every
24 months per dependant.
(12 months waiting period)

Maximum overall limits for Day-to-Day Benefits

Single: R18 165
Couple / Dependant 2-3: R26 770
Dependant 4+: R32 175

In-Hospital Benefits:
(Netcare, Mediclinic, Life and others)

Casualty Illness

Up to R6 100 for life threatening emergency illness
in casualty units that does not result in admission.
(90 days waiting period)

Casualty Accident

Up to R6 100 for accident events in casualty units
that does not result in admission.
Excess: 0-3 Months - 15 % | 4 months plus - R200
(Immediate)

Accident Cover

Up to R340 000 per insured event. Up to R680 000 per family
per event.
Excess: R600 | Contact sport - 15% of claim amount
(Immediate for Accident in Hospital cover)
(12 months waiting period for contact sport)

Illness In Hospital

Up to R80 000 per insured event p/p. Up to R200 000 per insured per year.
Excess: 4-6 Months - 15% | 7 months onwards - 5%
(90 days waiting period - Certain conditions are excluded for 12 Months)

Dread Disease

Up to R390 000 per defined disease per year.
(6 months waiting period)

Natural Birth and Emergency Caesareans

Up to R75 000 per insured event p/p. Cover forms part
of illness and operations annual limits.
Excess: 10% of claim amount.
(12 months waiting period)

Neonatal

Up to R75 000 per insured event p/p. Cover forms part
of illness in Hospital annual limit.
Excess: 10% of claim amount.
(12 months waiting period)

Repatriation

Up to R15 000 per insured person. Repatriation of mortal remains to funeral home.
(Immediate)

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.
(Immediate)

Additional Cover built into your policy:

Accident Disability

Up to R230 000 for the duration fo the policy.
only principal insured is covered.
(Immediate)

Family Death Cover (Accident Only)

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
(Immediate)

Trauma, Assault and Accidental HIV

Trauma and assault counselling, Accidental HIV protection services. Accidental HIV infection treatment.
(Immediate)

OPTIONAL ADD-ON PRODUCT

Excess Buster

Waive Excesses for R40 per person

CALL ME RATHER CONTINUE

You are one more step closer to affordable health cover and peace of mind.


Please complete the details of the main member to create your policy


CONTINUE

Would you prefer one of our friendly agents to call you to assist with your quote or sign up?

Click Call me Rather below and we’ll be in touch shortly.

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Let’s create your health profile(s).
It’s just clicks no needle pricks, we promise.


The questions are to help us assess the health status of you / dependants on your policy.
Honesty is our best insurance policy so please provide us with accurate answers and that way your cover will be correct from the start.

Health General Questionnaire

Oh yay! It’s your very own Health Insurance Quote.

Ready to join the Oneplan Health Family?
All you have to do is click proceed and complete your hassle free online application.

Private health cover isn’t free! But it can be affordable and easy to manage with Oneplan.


Hi

You get health cover for

on the


Your monthly premium is R

pm



Send my Quote to :




CLICK HERE TO VIEW GENERAL EXCLUSIONS

  • We will not be liable for expenses, hospitalisation, injury, sickness or disease directly or indirectly caused by or related to the following:
  • Nuclear weapons, nuclear material or acts of war including military rising, rebellion or revolution.
  • Cost of operations, treatments and procedures that are not medically justifiable i.e. all other lines of conservative treatment must first be considered.
  • Cosmetic procedures.
  • Costs, tests and examinations and tests requested for immigration, emigration, visas, insurance policies, employment, admission to schools and universities, court medical reports, muscle-function tests, fitness examinations and test, adoption of children and retirement because of ill health.
  • Cost of treatment for infertility.
  • Any sexual transmitted diseases, unless as a direct result of rape or crime that has been officially reported to the South African Police Services.
  • Services rendered by persons not registered with the SA Medical and Dental Council, the SA Nursing Council or the South African Health Service Professions Board.
  • Any criminal act as defined by the laws governing the Republic of South Africa, caused as a direct or indirect result of negligence to your medical needs or health.
  • Because of the influence of alcohol, drugs or narcotics upon such Insured Person unless administered by or prescribed by and taken in accordance with the instructions of a member of the medical profession other than himself.
  • Mental illness, psychiatric disorders, symptoms and related treatment and hospitalisation.
  • Corrective procedures for optometry related conditions, including the cost of artificial lenses and the cost of the insertion of these lenses for treatment of eye conditions.
  • Any treatment relating to non-disclosure, whether intentionally or unintentionally, of a condition.
  • There is no surrender or maturity value for the policy.
  • Consequential loss or damage which is not directly caused by an Insured risk.
  • Declined or repudiated claims re-submitted after the waiting period has expired will not be covered.
  • Congenital disorders, diseases or abnormalities.
  • Any birth control procedures such as, but not limited to, sterilization, vasectomies and tubal ligation.
  • Claims submitted after four (4) months.
  • No claim will be payable if we have not been notified of the event within three (3) months of the event.
  • Admission to a medical facility/hospital for investigative purposes and/or pain control.
  • Costs incurred for the treatment of obesity and health holidays.
  • Self-inflicted injuries.

Keep going… only 3 more steps, you are nearly there!

Addresses please!

Now you can choose how you want to claim and manage your policy.
Yes we let you choose if you want to be Old School or Tech Savvy.

A once off Oneplan Claim Card and Administration Fee of R160 will be deducted with your first month premium and your Oneplan Claim Card will be couriered to your door.

Please submit a copy of the main members Identity Document on the secure Oneplan Care WhatsApp 083 794 5452 before your first claim submission, this is a requirement for KYC (Know Your Customer) Regulations.

Physical Address

Oneplan Claim Card Delivery Address

Keep going… Just a few more important details

We need to know a little more about your dependant/s (the other people covered on this plan with you)
and your beneficiary (who will receive the family death cover in the event of an accident) should something happen to you.

It’s the finances and then we are done.

It's our promise to you to ensure your details are kept safe and secure. Which is why we use Debi Check and SSL secure connection.

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Banking Details


We will require documentation to be submitted in order to process your business bank details. An e-mail will follow once you complete the online sign up, requesting the following:

  • Copy of Certified bank account details (1 month bank statement with a recent bank stamp).
  • Certified copy of applicant’s ID and other bank signatories ID copies if applicable.
  • Company registration number.
  • Letter of authority to debit account signed by applicants on a business letterhead.

  







DebiCheck

Thank you for providing your banking details, Oneplan has implemented the DebiCheck approval to validate this contract. Debicheck, ensures our clients debit orders are safe, protected and permission controlled. We will send you an SMS when we process your application, please reply with number “1” to mandate the debit order against your account. The SMS is reverse billed and you will not be charged for the response.


Please confirm the cellphone number linked to your bank account



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