What Classifies as a GP Visit? Your Health Insurance Policy Explained

What Counts as a Doctor’s or GP Visit on Health Insurance? Everything You Need to Know

Understanding how your health insurance policy works, what you’re covered for, and what all the terms mean can feel confusing. That’s exactly why we’re here. In this guide, we break down what qualifies as a doctor’s or a GP visit, how cover works, and how Oneplan makes seeing a doctor simple and stress-free.

Health insurance is often seen as a luxury that few can afford. Fortunately, that’s no longer the case. Health insurance policies were designed to give you access to medical cover in exchange for a manageable monthly premium. And just because health insurance is often more affordable than medical aid does not mean the quality of cover is compromised.

With Oneplan health insurance, you get access to meaningful benefits, especially when you need to see a doctor. From sinus infections and colds to tummy bugs that appear out of nowhere, illness rarely arrives at a convenient time. When you’re feeling unwell, the last thing you should worry about is whether your doctor’s visit is covered.

Table of Contents

What classifies as a GP visit?

First things first, what exactly is considered a doctor’s visit under health insurance?

In this context, a doctor’s visit refers to a consultation with a General Practitioner (GP). A GP is a qualified medical doctor who treats patients of all ages and does not specialise in a specific medical field. They are often referred to as family doctors and must be registered with the Health Professions Council of South Africa.

Specialist visits are treated differently and usually fall under separate benefits or limits, but when you’re feeling under the weather, your GP is your first point of contact and is covered under your day-to-day health insurance benefits.

In short, if you’re sick and need to see your GP, you’re covered.

The Oneplan Claim Card: what makes it different?

By now you may be wondering what the Oneplan Claim Card is and why it matters.

The Oneplan Claim Card is a transactional card designed to make paying for healthcare easier. Unlike traditional health insurance where you pay upfront and wait to be reimbursed, Oneplan gives you access to funds before you see the doctor.

Other insurers often require you to:

Pay the doctor upfront
Submit paperwork
Wait days or weeks for reimbursement

That’s not ideal when money is tight or you’re already feeling unwell.

Money before you see the doctor

With Oneplan, your day-to-day doctor visit benefits are loaded onto your Oneplan Claim Card in advance.

Here’s how it works:

When you feel sick and need to see your GP, log into the Oneplan App
Load your claim in the app
Funds are transferred to your Oneplan Claim Card within seconds
Swipe your Oneplan Claim Card at the doctor’s rooms like a debit card

This means no waiting for payday, no scrambling for cash, and no unnecessary stress.

How to claim using the Oneplan App and Oneplan Claim Card

Claiming is quick and simple:

Log in to the Oneplan App
Select “Claim/Refund”
Choose “New Card Claim”
Select your plan.
Choose the type of event you’re claiming for
Select the date and member
Tap “Process Claim”

Once submitted, funds are loaded onto your Oneplan according to your plan limits.

After your appointment, simply upload your detailed invoice through the app. If you already paid using your own money, you can request a refund directly in the app and choose whether the refund goes to your bank account or back onto your Oneplan.

You can choose any GP

Many health insurance policies restrict you to a network of contracted doctors. If your doctor isn’t on that list, you either pay out of pocket or find someone new.

With Oneplan, you don’t have to change doctors.

You can visit any licensed GP in South Africa. Whether you’ve been seeing the same doctor for years or need to visit one while travelling, you’re covered. The combination of the Oneplan Claim Card and upfront payments makes this possible.

Health insurance that works in real life

Oneplan does health insurance differently. It’s designed for real people, real budgets, and real medical needs. By paying you before you see the doctor and allowing you to choose any GP, Oneplan removes many of the barriers that stop people from getting medical care when they need it.

Affordable, flexible, and practical health insurance means you can focus on getting better, not stressing about the cost of your GP visit.

Yours in affordable and comprehensive health insurance,
The Oneplan Team