Day1 Health Day-to-Day Plan
Overall, the Day1 Health Day-to-Day Plan is a trustworthy and comprehensive medical health plan that basic health coverage to up to 5 Family Members. The Day1 Health Day-to-Day Plan starts from R325 ZAR. Day1 Health has a trust score of 3.1.
| 🔎 Medical Health Plan | 🥇 Day1 Health Day-to-Day |
| 🌎 International Cover | None |
| 👤 Main Member Contribution | R325 |
| 👥 Adult Dependent Contribution | R325 – R553 |
| 😊 Child Dependent Contribution | R480 – R708 |
| 🔁 Gap Cover | None |
| 📉 Annual Limit | None |
| 🏥 Hospital Cover | Illness Benefit |
| 💶 Medical Savings Account | None |
| 🍼 Maternity Benefits | None |
Day1 Health Day-to-Day Plan – 7 Key Point Quick Overview
- ✅ Day1 Health Day-to-Day Plan Overview
- ✅ Day1 Health Day-to-Day Plan Premiums
- ✅ Day1 Health Day-to-Day Plan Benefits and Cover Comprehensive Breakdown
- ✅ Day1 Health Day-to-Day Plan Exclusions and Waiting Periods
- ✅ Day1 Health Day-to-Day Plan vs Plans Offered by Other Providers
- ✅ Our Verdict on the Day1 Health Day-to-Day Plan
- ✅ Day1 Health Day-to-Day Plan Frequently Asked Questions
Day1 Health Day-to-Day Plan Overview
The Day1 Health Day-to-Day Plan is one of 10, starting from R325. The Day1 Health Day-to-Day Plan is a good fit for individuals seeking basic health coverage for day-to-day medical expenses. Gap Cover is not available on the Day1 Health Platinum Comprehensive Plan. However, Day1 Health offers 24/7 medical emergency assistance. According to the Trust Index, Day1 Health has a trust rating of 3.1.
Day1Health has the following health insurance plans to choose from:
Day1 Health Day-to-Day Plan
Day1 Health Day-to-Day Senior Plan
Day1 Health Executive Comprehensive Plan
Day1 Health Executive Hospital Plan
Day1 Health Platinum Comprehensive Plan
Day1 Health Platinum Hospital Plan
Day1 Health Value Plus Comprehensive Plan
Day1 Health Value Plus Comprehensive Senior Plan
Day1 Health Value Plus Hospital Plan
Day1 Health Value Plus Hospital Senior Plan
Health Insurance Day1 Health Day-to-Day Plan Premiums
Health Insurance that is affordable :
| 🅰️ Family Dynamic | 🅱️ Premium | 🅰️ Family Dynamic | 🅱️ Premium |
| 🟧 Single Member | R325 | 🟧 Couple | R553 |
| 🟨 Member + 1 Child | R480 | 🟨 Couple + 1 Child | R708 |
| 🟩 Member + 2 Children | R635 | 🟩 Couple + 2 Children | R863 |
| 🟦 Member + 3 Children | R790 | 🟦 Couple + 3 Children | R1,018 |
| 🟪 Member + 4 Children | R945 | 🟪 Couple + 4 Children | R1,173 |
You might consider GAP cover
Day1 Health Day-to-Day Plan Benefits and Cover Comprehensive Breakdown
| 🔴 Unlimited Managed Doctor Visits | Via a 1Doctor Health Network Provider who is registered.
After the fifth visit, a co-payment of R75.00 will be required for all additional visits. |
| 🟠 Pathology | Basic diagnostic blood tests upon referral by a 1Doctor Health Network GP and subject to a Day1 Health-approved list of basic pathology tests. |
| 🟡 Specialist Benefit | Annual Specialist Benefit of up to R1,000 per family.
Subject to pre-approval and referral from a 1Doctor Health Network general practitioner. |
| 🟢 Basic Dentistry | Basic treatment from a 1Doctor Health Network Dentist includes preventative cleaning, fillings, extractions, and emergency pain and sepsis control.
Limited to 2 visits per annum per member. |
| 🔵 Acute Medication | 1Doctor Health’s formulary covers acute medications.
Linked to the 1Doctor consultation and dispensed by a 1Doctor Health Network GP or obtained from a Network Pharmacy via prescription. |
| 🟣 Optometry through Iso Leso Optics | The Iso Leso Optics protocol specifies one eye exam and one pair of glasses every 24 months. |
| 🔴 Chronic Medication | The 1Doctor Health formulary covers medication for chronic conditions. |
| 🟠 Out-of-Area Visits | If you cannot see your Network GP, the Plan will cover up to 3 “out of area” visits per family per year to a different Network GP or a GP of your choosing, subject to pre-approval. |
| 🟡 Basic Radiology | Radiology according to the 1Doctor Health formulary through a GP in the 1Doctor Health network.
Only black-and-white diagnostic X-rays are used. |
| 🟢 In-Hospital Illness | Covers up to R10,000 after 24 hours in the hospital, R10,000 for the second day, and R10,000 for the third day.
Following that, R1,500 per day for a maximum of 21 days. |
| 🔵 Accident/Trauma | Up to R 150,000 per individual and R 300,000 per family per incident. Immediate security. |
| 🟣 Family Funeral Benefit | The Family Funeral Benefit is as follows:
Principal Member – R10,000
Spouse and Child >14 years – R10,000
Children >6 years – R5,000
Children >0 – R2,500
Children >28 weeks – R1,250 |
| 🔴 24-Hour Emergency Services Ambulance and Pre-Authorisation | Africa Assist offers 24-Hour Emergency Services, Medical Assistance, and Pre-Authorization.
Guaranteed private hospital admission with a preference for all hospitals operated by Life Healthcare and Mediclinic. |
Day1 Health Day-to-Day Plan Exclusions and Waiting Periods
Day1 Health Day-to-Day Plan Exclusions
Typical exclusions with Day1 Health could include:
- Treatment for pre-existing conditions unless otherwise specified in the policy.
- Cosmetic or elective procedures, unless medically necessary.
- Treatment received outside of the designated network of healthcare providers.
- Experimental or investigational treatments.
- Fertility treatments or assisted reproductive technologies.
- Infertility testing or treatment.
- Weight loss or weight management programs.
- Substance abuse treatment or counseling.
- Mental health treatment or counseling.
- Long-term care or hospice care.
Day1 Health Day-to-Day Plan Waiting Periods
Day1 Health applies the following waiting periods on the Value Comprehensive Plan:
| 🅰️ Benefit | 🅱️ Waiting Period |
| 🟥 Unlimited Managed Doctor Visits | 1 Month |
| 🟧 Pathology | 1 Month |
| 🟨 Specialist Benefit | 3 Months |
| 🟩 Basic Dentistry | 3 Months |
| 🟦 Acute Medication | 1 Month |
| 🟪 Optometry through Iso Leso Optics | 12 Months |
| 🟥 Chronic Medication | 3 Months on unknown and 12 months on pre-existing conditions |
| 🟧 Out-of-Area Visits | 1 Month |
| 🟨 Basic Radiology | 1 Month |
| 🟩 In-Hospital Illness | 3 – 12 Months |
| 🟦 Accident/Trauma | Immediate Cover Available |
| 🟪 Family Funeral Benefit | 3 Months |
| 🟥 24-Hour Emergency Services Ambulance and Pre-Authorisation | Immediate |
Discover more about Health Insurance for Students
Day1 Health Day-to-Day Plan vs Plans Offered by Other Providers
| 🔎 Medical Health Plan | 🥇 Day1 Health Day-to-Day | 🥈 CompCare NETWORX | 🥉 KeyHealth Essence |
| 🌎 International Cover | None | Subject to benefits per individual benefit category. | None |
| 👤 Main Member Contribution | R325 | R472 – R3,123 | R1,814 |
| 👥 Adult Dependent Contribution | R325 – R553 | R472 – R2,807 | R1,454 |
| 😊 Child Dependent Contribution | R480 – R708 | R472 – R1,092 | R654 |
| 🔁 Gap Cover | None | None | ✅ Yes |
| 📉 Annual Limit | None | Unlimited | None |
| 🏥 Hospital Cover | Illness Benefit | Unlimited | Unlimited |
| 💶 Medical Savings Account | None | None | None |
| 🍼 Maternity Benefits | None | ✅ Yes | ✅ Yes |
Our Verdict on the Day1 Health Day-to-Day Plan
The Day1 Health Day-to-Day plan is a health insurance policy that covers basic radiology, dentistry, optometry, and accidental cover. It is designed to provide affordable and comprehensive healthcare coverage to individuals and families.
With the Value Plus plan, policyholders can enjoy unlimited GP visits, basic radiology and dental care, emergency medical assistance, and accidental cover.
In addition, the plan offers a range of wellness benefits, including wellness screening, health assessments, and flu vaccinations.
Despite the benefits, there are some drawbacks to this plan. For example, the cover for hospitalization and specialist consultations is limited. Additionally, the accidental cover only applies to accidental injuries, not illnesses.
However, hospitalization covers a range of illnesses and provides comprehensive coverage to save members from expensive out-of-pocket expenses.
You might also like: Day1 Health Day-to-Day Senior Plan
You might also like: Day1 Health Executive Comprehensive Plan
You might also like: Day1 Health Executive Hospital Plan
You might also like: Day1 Health Platinum Comprehensive Plan
You might also like: Day1 Health Platinum Hospital Plan
You might also like: Day1 Health Value Plus Comprehensive Plan
You might also like: Day1 Health Value Plus Comprehensive Senior Plan
You might also like: Day1 Health Value Plus Hospital Plan
You might also like: Day1 Health Value Plus Hospital Senior Plan
Day1 Health Day-to-Day Plan Frequently Asked Questions
What is the Day1 Health Day-to-Day Plan?
The Day-to-Day Plan is a health insurance plan offered by Day1 Health in South Africa. It covers day-to-day medical expenses, including doctor visits, medication, pathology services, and some dental and optometry services.
What medical expenses are covered under the Day1 Health Day-to-Day Plan?
The plan covers a range of day-to-day medical expenses, including doctor visits, medication, pathology services, and some dental and optometry services.
Is there a waiting period for coverage under the Day1 Health Day-to-Day Plan?
Yes, several waiting periods apply under the Day-to-Day plan.
Can I choose my own healthcare provider with the Day1 Health Day-to-Day Plan?
The plan focuses on managed care and uses a network of healthcare providers. You will need to select a healthcare provider from the network provided by Day1 Health.
How much does the Day1 Health Day-to-Day Plan cost?
The plan’s cost varies depending on the individual’s family dynamic and the number of beneficiaries. The Day-to-Day plan starts from R325 per month.
Is the Day1 Health Day-to-Day Plan suitable for individuals with pre-existing conditions?
Yes, the plan is available for individuals with pre-existing conditions.
