Executive Healthcare Plan: Health Insurance With Everything You Need & More (From Preventive & Specialist Cover To Hospital Care)
When it comes to health insurance, our Executive Plan is the best of the best. Covering everything from GP visits, prescription medication to hospital visits and dread disease. And let’s not forget that this plan also includes specialist visits. Did we mention it only costs R1180 a month? And it gets better…
Before we get into the awesome benefits of this amazing plan, let’s first break down what exactly health insurance is.
What is health insurance?
We’re glad you asked.
The first thing you need to know is that health insurance is different from medical aid. In fact, we wrote an article on the differences between the two. You can read it by clicking here.
Both health insurance and medical aid are forms of health cover that give you access to private medical care. Depending on your plan, health insurance might include GP visits, maternity cover, prescription medication and hospital stays.
The reason why medical insurance is more affordable than medical aid is that medical aid is required by law to cover a list of chronic medical issues.
Health insurance, on the other hand, let’s you know EXACTLY what benefits you have, what you are covered for and what you are not.
Health insurance includes a set of limits outlined in your policy document. These limits are the max amount of money your insurer will pay you in the event of a claim.
There are a number of health insurers out there and finding one that suits your lifestyle and your budget can be tricky.
Which is why we have outlined what makes us special:
- We pay you before you see your doctor
- You can go to ANY doctor you like
- We include preventive care in all of our plans
- We include maternity and specialist cover in some of our plans
- There is a team of nurses for you to chat with through the Oneplan App
- 24/7 in-app chat services and support
Why the Executive Healthcare Plan?
At Oneplan, we have a WIDE range of plans for you to choose from.
Don’t believe us? Check them out right here.
Starting from our Core Plan and moving all the way up to the Executive Plan. Our Executive Plan is the top of the pops. The best of the best. It’s got everything you need from a health insurance plan, and more.
The top 3 reasons to choose this plan:
- Specialist cover included
- Amazing cover for routine care and hospital care
How much is this plan a month?
R1180 a month.
What makes this plan different from the Professional Plan?
The Professional Plan is the plan below the Executive Plan. Our Executive Plan includes MORE cover, MORE benefits and higher limits. And the cherry on top is that this plan includes specialist cover.
What am I covered for?
Day-to-day benefits and routine care
- Doctor visits (GP cover) - Up to R360 per visit
- Scripted medication - Up to R265 per script
- Blood tests - Up to R600 per event
- X-rays - Up to R600 per event
- Dentistry - Up to R800 per event (max of 3 visits a year)
- Specialist cover - Up to R2 000 per visit. 3 visits per family per year.
- Optometry - Up to R1500 every 24 months
- Maternity pre-birth - Up to R600 per visit (3 visits per pregnancy with an annual limit of R2220)
Just a head’s up - Just because you can go to any doctor of your choice, this does not mean you are not covered for traditional healers, dieticians, homoeopaths and psychologists. All of this is outlined in our policy document. You can have a look at our simple and easy to read policy document right here.
Casualty illness - Up to R5200 per event
These are emergency treatments for illnesses that do not require overnight hospital stays.
You are covered for treatments and procedures in casualty for life-threatening conditions.
Casualty accident - Up to R5200 per event
These are emergency treatments for accidents that do not require overnight hospital stays.
You are covered for treatment and procedures in casualty. These benefits include cover for injuries that require immediate treatment and are life-threatening (life-threatening means that if you do not get treatment within an hour of the issue, it will result in permanent damage to you).
Accident cover - Up to R290 00 per insured event
Accidents are the things you didn’t see coming - such as when you are involved in an accident like a car crash and you need to be seen by a doctor immediately.
Illness in hospital - Up to R68 500 per insured event
Dread Disease - Up to R340 000 per defined disease per year
These are serious diseases which include: heart attack, coronary artery disease requiring surgery, heart valve replacement, aorta surgery, stroke, cancer, acute kidney failure, brain tumours and major organ transplants.
Natural Birth and Emergency Caesareans - Up to R68 500 per insured event
Part of our awesome maternity benefits.
Family death cover
We cover the main member for R20 000, your partner for R20 000, children between 14 and 21 for R20 000, children between 6 and 13 for R9 600, children between 1 and 5 for R4 800 and unborn children for R2 450.
Accident disability - Up to R200 00 for the duration of your policy.
This refers to an injury or accident that restricts your ability to perform everyday tasks, such as loss of sight, loss of a limb, being paralysed etc.
● Trauma and assault counselling and accidental HIV protection services. Accidental HIV infection treatment.
● Ambulance and Emergency Services - 24 hr Medical assistance with a dedicated emergency line.
How do I claim with Oneplan?
We already mentioned that with Oneplan we pay you BEFORE you see the doctor. And here’s how we do it…
The moment you join our Oneplan Family we will send you a Onecard. This card is like a debit card and is used to swipe at your doctor’s rooms.
When it’s time to see the doctor, simply login to the Oneplan App, load your claim and we will transfer the funds to you within seconds.
Still not convinced? Why not get a no-strings-attached free online quote right now?
Yours in hassle-free health insurance,