Senior Plan

FROM AS LITTLE AS R295 PER MONTH

Maximum age entry limit:
64 | Persons joining over the age of 65 will be subject to a late joiner penalty fee of up to 75% on monthly premium Once-off non refundable activation fee: R200


Day To Day Benefits Include:

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. 1 Month waiting period applies

Pathology
Diagnostic blood tests on referral by a 1Doctor Health Network GP and subject to a list of basic pathology tests approved by Day1 Health. 1 Month waiting period applies.

Acute Medication
Acute medication is covered according to the 1Doctor Health formulary. 1 Month waiting period applies.

Basic Dentistry
Basic treatment includes preventative cleaning, pain control, fillings, emergency root canal and extractions via 1Doctor Health Network Dentist. A 3 month waiting period applies.

Chronic Medication
Chronic medication is 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. A standard 12 month waiting period applies for persons aged 65 and over for chronic medication. (All chronic medication is subject to preauthorisation. An additional administration fee is levied on all approved chronic medication).

Optometry (Spec-Savers)
One eye test and one set of glasses every 24 months per the specific Spec-Savers agreed protocol range. A 12 month waiting period applies.

Radiology
Basic radiology according to the 1Doctor Health formulary via a 1Doctor Health Network GP. Black and white diagnostic x-rays only. 1 month waiting period applies

Out-of-Area Visits
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.

Day to Day Benefits via 1Doctor Health Provider Network
General Waiting Period: 1 month from inception of Contract