Day1 Health Executive Comprehensive Plan
Overall, the Day1 Health Executive Comprehensive Plan is a trustworthy and comprehensive medical health plan that offers 24/7 medical emergency assistance and comprehensive health coverage focused on managed care. The Day1 Health Executive Comprehensive Plan starts from R935 ZAR. Day1 Health has a trust score of 3.1.
| 🔎 Medical Health Plan | 🥇 Day1 Health Executive Comprehensive |
| 🌎 International Cover | None |
| 👤 Main Member Contribution | R935 |
| 👥 Adult Dependent Contribution | R935 – R1,598 |
| 😊 Child Dependent Contribution | R1,263 – R2,910 |
| 🔁 Gap Cover | None |
| 📊 Annual Limit | None |
| 💙 Hospital Cover | Illness Benefit |
| 🤓 Optometry Benefit | ✅ Yes |
| 🦷 Dentistry Benefit | ✅ Yes |
Day1 Health Executive Comprehensive Plan – 7 Key Point Quick Overview
- ✅ Day1 Health Executive Comprehensive Plan Overview
- ✅ Day1 Health Executive Comprehensive Plan Premiums
- ✅ Day1 Health Executive Comprehensive Plan Benefits and Cover Comprehensive Breakdown
- ✅ Day1 Health Executive Comprehensive Plan Exclusions and Waiting Periods
- ✅ Day1 Health Executive Comprehensive Plan vs Plans Offered by Other Providers
- ✅ Our Verdict on the Day1 Health Executive Comprehensive Plan
- ✅ Day1 Health Executive Comprehensive Plan Frequently Asked Questions
Day1 Health Executive Comprehensive Plan Overview
The Day1 Health Executive Comprehensive plan is one of 10, starting from R935. The Executive Comprehensive plan may fit individuals seeking comprehensive health coverage focusing on managed care.
Gap Cover is not available on the Day1 Health Executive 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
Day1 Health Executive Comprehensive Plan Premiums
| 🅰️ Family Dynamic | 🅱️ Premium | 🅰️ Family Dynamic | 🅱️ Premium |
| 🟧 Single Member | R935 | 🟧 Couple | R1,598 |
| 🟨 Member + 1 Child | R1,263 | 🟨 Couple + 1 Child | R1,926 |
| 🟩 Member + 2 Children | R1,591 | 🟩 Couple + 2 Children | R2,254 |
| 🟦 Member + 3 Children | R1,919 | 🟦 Couple + 3 Children | R2,582 |
| 🟪 Member + 4 Children | R2,247 | 🟪 Couple + 4 Children | R2,910 |
READ more about the 5 Best Gap Cover Options for Under R200
Day1 Health Executive Comprehensive 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. |
| 🔵 Illness Top-Up | Limited to R25,000 per insured person yearly.
Limited to 2 events per family policy yearly. |
| 🟣 Accident/Trauma | Up to R 150,000 per individual and R 300,000 per family per incident. Immediate security. |
| 🔴 Critical Illness Benefit | Limited to one incident per family per year.
Critical illness is covered up to R250,000 but limited to R50,000 unless the insured accedes to a short medical examination. |
| 🟠 Accidental Permanent Disability Benefit | Limited to R250,000 and only available for the Principal Member.
Limited to one life event. |
| 🟡 Family Funeral Benefit | The Family Funeral Benefit is as follows:
Principal Member – R30,000
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 Executive Comprehensive Plan Exclusions and Waiting Periods
Day1 Health Executive Comprehensive 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.
Finally, Long-term care or hospice care is not included in the Executive Comprehensive Plan.
Day1 Health Executive Comprehensive 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 |
| 🟦 Illness Top-Up | 3 months |
| 🟪 Accident/Trauma | Immediate Cover Available |
| 🟥 Critical Illness Benefit | 3 months |
| 🟧 Accidental Permanent Disability Benefit | Immediate Cover Available |
| 🟨 Family Funeral Benefit | 3 Months |
| 🟩 24-Hour Emergency Services Ambulance and Pre-Authorisation | Immediate |
Discover more about Medical Insurance for Kids
Day1 Health Executive Comprehensive Plan vs Plans Offered by Other Providers
| 🔎 Medical Health Plan | 🥇 Day1 Health Executive Comprehensive | 🥈 GetSavvi Health Primary Care | 🥉 Momentum Ingwe Plan |
| 🌎 International Cover | None | None | Up to R9.01 million |
| 👤 Main Member Contribution | R935 | From R711 | R482 – R3,163 |
| 👥 Adult Dependent Contribution | R935 – R1,598 | From R711 | R964 – R6,326 |
| 😊 Child Dependent Contribution | R1,263 – R2,910 | From R711 | R897 – R2,209 (Max 3) |
| 🔁 Gap Cover | None | None | ✅ Yes |
| 📊 Annual Limit | None | R188,500 | None |
| 💙 Hospital Cover | Illness Benefit | None | Unlimited |
| 🤓 Optometry Benefit | ✅ Yes | None | ✅ Yes |
| 🦷 Dentistry Benefit | ✅ Yes | ✅ Yes | ✅ Yes |
Our Verdict on the Day1 Health Executive Comprehensive Plan
The Executive Comprehensive plan offered by Day1 Health provides various health benefits for individuals seeking comprehensive coverage. The plan includes unlimited managed doctor visits, optometry services through Iso Leso Optics, and acute and chronic medications coverage. Additionally, there is an option to receive an additional illness top-up of R25,000.
However, it is worth noting that this plan may not be suitable for everyone, as it may not cover certain conditions or medical procedures. Additionally, the plan’s cost may be higher than other health insurance options.
Therefore, it is important to carefully review and consider all aspects of the plan before deciding.
You might also like: Day1 Health Day-to-Day Plan
You might also like: Day1 Health Day-to-Day Senior 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 Executive Comprehensive Plan Frequently Asked Questions
What is the Day1 Health Executive Comprehensive Plan?
The Day1 Health Executive Comprehensive Plan is a health insurance plan offered by Day1 Health, offering some of the best benefits for members with higher medical needs.
What is included in the Executive Comprehensive Plan?
The Executive Comprehensive Plan includes unlimited managed doctor visits, optometry services through Iso Leso Optics, acute and chronic medications coverage, and an additional illness top-up of R25,000.
Can I choose my doctor with the Executive Comprehensive Plan?
No, the plan focuses on managed care and uses a network of healthcare providers. Therefore, you will need to select a doctor from the network provided by Day1 Health.
What is the cost of the Executive Comprehensive Plan?
The plan’s cost varies depending on your age and the cover options you choose. Requesting a quote from Day1 Health is recommended to get an accurate estimate. However, the plan starts from R935 for a single member and R1,598 for a couple.
Are pre-existing conditions covered under the Executive Comprehensive Plan?
Yes, pre-existing conditions are covered under the plan after a waiting period of 12 months.
Is the Executive Comprehensive Plan suitable for me if I need cover for maternity care?
No, the plan does not provide cover for maternity care. However, Day1 Health offers a separate plan that includes maternity benefits.
