Here’s the lowdown on how health insurance goes way beyond hospital claims, all the way to a doctor’s visit and your day-to-day care. Hint – we only have Oneplan – and that’s to ensure you are covered for the expected, unexpected and everything in between.
Like all people hoping to have access to excellent private healthcare when they need it, you’ve probably heard about health insurance. Health insurance is how everyday people are able to afford comprehensive cover for their health whilst knowing exactly what they’re covered for, whether it’s a hospital stay or a doctor’s visit for a sore throat.
That’s the main point of difference between having a medical aid scheme and having health insurance. Medical aid is lawfully obligated to cover you for extreme and unexpected, specific events. Hey, we aren’t saying that it wouldn’t be great to be covered for everything, but that’s just not what the average person can afford. It’s not even what the above-average person can afford! Instead, with health insurance, you and your insurer work through exactly what you’re covered for, from a doctor’s visit to a hospital emergency, and what events you can claim for.
Learn more: 4 Tips for Choosing the Best Family Doctor Plus How You Can Afford It
At Oneplan, we aim to make your health insurance as far-reaching as possible. That’s why we’re here to talk about how we go so much further than hospital claims and try to make each and every day a little bit easier for you, especially when it comes to managing a doctor’s visit.
Discover: a step-by-step guide to choosing the right health insurance plan.
What can I be covered for?
With the right insurer for you and your family, you can find cover for the expected doctor’s visit and the unexpected emergency by finding a policy that covers one to three of these benefit divisions:
Health cover
This is where your doctor’s visit comes in. We have five plans and each of them includes cover for routine care and a doctor’s visit whenever you need it. We know that the day-to-day is where the trouble and bills can sneak in.
The routine care we cover you for includes:
- Doctors’ visits (we’ll chat more about that soon)
- Medication
- Radiology (X-rays)
- Pathology (Blood tests)
- Dentist visits
- Eye doctor visits
Hospital cover
Our Core Plus, Blue, Professional and Executive Plans also include hospital cover, which is cover for any emergency accidents or illnesses that require care in a hospital. Our hospital cover allows you access to any private hospital for exceptional healthcare that would have been otherwise unaffordable – whether that follows a doctor’s visit or not.
Our Blue, Professional and Executive Plans also include dread disease cover for the really scary stuff.
Maternity cover
All of our plans include great maternal benefits, but you can only access natural birth and emergency caesareans if you are a part of our Blue Plan, Professional Plan or Executive Plan. This means that you can birth your baby under the supervision of private doctors in a private hospital of your choice – and even claim for a doctor’s visit during your pregnancy for peace of mind.
Our Core and Core Plus Plans will still have you covered with pre-birth benefits though, which is always a weight off your shoulders.
Visiting the doctor with Oneplan
We mentioned it earlier, but we really do want to make our clients’ lives as hassle-free as we can, which is why we change the game when it comes to doctor’s visits.
Lots of insurance brokers will provide you with a pool of doctors for you to choose from, all of whom we are sure are great options. There is just something about being with your doctor you’ve grown to know and respect though, right? That’s why not much will change when you become a Oneplan member: you can still book a doctor’s visit with any doctor of your choice, and we will oversee the costs.
Here’s what will change: you will be paid upfront before your doctor’s visit. We don’t think you need to be bothered with admin-riddled claims or scrambling around for funds to pay for a doctor’s visit. Put your credit card away and listen to how we pay you before your appointment.
How to prepare for your doctor’s visit
When you become a Oneplan family member, you will be given a Oneplan Claim Card that links directly to your Oneplan App. From there, you can request to load funds onto your card before your doctor’s visit. It’s as easy as five steps:
- Log into the Oneplan App
- Select “Load Claim”
- Select the type of event (like a doctor’s visit)
- Use the drop-down arrows to select the date and the member
- Hit Proceed
From there, it’s as easy as finishing up your doctor’s visit, paying with your Oneplan Claim Card as you would a debit card and boom, you’re on your way.
Yours in hassle-free health insurance,
Oneplan
