Platinum Hospital Plan

The Platinum Hospital Plan is a hospital-focused Day1 Health option in the Platinum tier. It provides a distinct hospital-plan option for people comparing hospital-related benefit categories.

Plan overview

The Platinum Hospital Plan is a hospital-focused Day1 Health option in the Platinum tier. It provides a distinct hospital-plan option for people comparing hospital-related benefit categories.

Who this plan may suit

Consider this plan type when hospital-related support is your main priority and you want to compare the Platinum tier with other Day1 Health hospital options.

Key benefit categories

The following categories may be available under this plan. Read the relevant plan document for full details, limits, exclusions and eligibility requirements.

In-hospital illness benefit
Accident and trauma benefit
Critical illness and accidental permanent disability benefits
Maternity and funeral benefits

Detailed benefit card information

These benefit-card details are provided for plan comparison. Read the relevant plan document before applying, as benefits, limits, exclusions, waiting periods and terms apply.

In-hospital Illness Benefit: Covers up to R 10 000 after the first 24 hours in hospital, up to R 10 000 for the second day in hospital and up to R 10 000 for the third day in hospital. Thereafter R 1 500 per day up to a maximum of 21 days. A 3 month waiting period applies and a 12 month pre-existing conditions exclusion applies.
1st Day in Hospital: Up to R 10 000.00 — not less than 24 hours from time of admission to time of discharge.
2nd Day in Hospital: Up to R 10 000.00.
3rd Day in Hospital: Up to R 10 000.00.
Every subsequent day thereafter: R 1 500
Maximum Benefit payable for 21 day period: Up To R 57 000.00
Accident/Trauma Benefit (Exclusion: Sports injuries): Up to R150 000 per single member per incident and up to R300 000 per family incident. Immediate cover.
Critical Illness Benefit: One incident per family per annum. Critical illness up to R250 000; the benefit is limited to R50 000 unless the insured person accedes to a short medical examination, at their own cost, arranged by Day1 Health. The underwriter decision is final. A 3 month waiting period applies.
Accidental Permanent Disability Benefit: R250 000 for the principal member only. Single event only. Immediate cover.
24 Hour Emergency Services ambulance & Pre-Authorisation: 24 hour emergency services and pre-authorisation provided by Africa Assist, including 24 hour medical advice and access to unlimited pay-as-you-go virtual doctor consultations. Immediate cover.
Maternity Benefit: Covers up to R20 000 for the birth of a child in hospital. A 12 month waiting period applies. Benefit is available to plan members aged 16 years and older.
Funeral Benefit: Principal member R20 000; spouse and child over 14 years R10 000; child over 6 years R5 000; child over 0 years R2 500; stillborn over 28 weeks R1 250. A 3 month waiting period applies. Benefit is available to plan members.

Important plan conditions

Benefits, limits, exclusions, waiting periods and terms may apply.
Some benefits may require use of a network provider, referral or pre-authorisation.
Benefit availability is subject to the applicable plan rules and supporting documents.
Request a quote and review the relevant documentation before applying.

Compare plan categories and tiers before choosing the option that best matches your healthcare needs.