Unlimited Managed Doctor Visits
Via a registered 1Doctor Health Network Provider. A co-payment of R75.00 will apply for all additional visits after the 5th visit. A 1 month waiting period applies.
Specialist Benefit of up to R500 per annum. Subject to pre-authorisation and referral from a 1Doctor Health Network GP. A 3 month waiting period applies.
Acute medication covered according to the 1Doctor Health formulary. Linked to the doctor consultation dispensed by the 1Doctor Health Network GP or obtained on script from a Network Pharmacy. A 1 month waiting period applies.
Chronic medication covered according to the 1Doctor Health formulary. A 3 month waiting period applies on chronic medication for unknown conditions and a 12 month waiting period on pre-existing conditions.
Basic radiology according to the 1Doctor Health formulary via a 1Doctor Health Network GP. Black and white diagnostic x-rays only. A 1 month waiting period applies.
Day To Day Benefits Via 1Doctor Health Provider Network
Basic diagnostic blood tests on referral by a 1Doctor Health Network GP and subject to a list of basic pathology tests approved by Day1 Health. A 1 month waiting period applies.
Basic treatment includes preventative cleaning, pain control, fillings, one emergency root canal treatment and extractions via a 1Doctor Health Network Dentist. A 3 month waiting period applies.
Optometry (Iso Leso Optics)
One eye test and one set of glasses every 24 months per the specific Iso Leso Optics agreed protocol range. A 12 month waiting period applies.
In the event that you cannot see your Network GP, the Plan will allow 3 “out of area” visits per family per annum to an alternative Network GP or GP of your choice, subject to pre-authorisation. A 1 month waiting period applies.
Family Funeral Benefit
Principal, Spouse & Child > 14 years R10,000. Child > 6 years R5,000. Child > 0 years > R2,500. Child > 28 weeks R1,250. A 3 month waiting period applies.