Day1 Health Platinum Comprehensive Plan
Overall, the Day1 Health Platinum Comprehensive Plan is a trustworthy and comprehensive medical aid plan that offers medical emergency assistance and Specialist Benefits to up to 5 Family Members. The Day1 Health Platinum Comprehensive Plan starts from R855 ZAR. Day1 Health has a trust score of 3.1.
| 🔎 Medical Health Plan | 🥇 Day1 Health Platinum Comprehensive |
| 🌎 International Cover | None |
| 👤 Main Member Contribution | R855 |
| 👥 Adult Dependent Contribution | R855 – R1,539 |
| 🍼 Child Dependent Contribution | R1,112 – R2,567 |
| 🔁 Gap Cover | None |
| 🏥 Hospital Cover | Illness Benefit |
| 💶 Prescribed Minimum Benefits | ✅ Yes |
| 😷 Screening and Prevention | None |
| 💙 Medical Savings Account | None |
Day1 Health Platinum Comprehensive Plan – 7 Key Point Quick Overview
- ✅ Day1 Health Platinum Comprehensive Plan Overview
- ✅ Day1 Health Platinum Comprehensive Plan Premiums
- ✅ Day1 Health Platinum Comprehensive Plan Benefits and Cover Comprehensive Breakdown
- ✅ Day1 Health Platinum Comprehensive Plan Exclusions and Waiting Periods
- ✅ Day1 Health Platinum Comprehensive Plan vs Plans Offered by Other Providers
- ✅ Our Verdict on the Day1 Health Platinum Comprehensive Plan
- ✅ Day1 Health Platinum Comprehensive Plan Frequently Asked Questions
Day1 Health Platinum Comprehensive Plan Overview
The Day1 Health Platinum Comprehensive Plan is one of 10, starting from R855, and includes Specialist Benefits, In-Hospital Illness Benefits, Critical Illness Benefits, Accidental Permanent Disability, and more.
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
Day1 Health Platinum Comprehensive Plan Premiums
| 🅰️ Family Dynamic | 🅱️ Premium | 🅰️ Family Dynamic | 🅱️ Premium |
| 🟧 Single Member | R855 | 🟧 Couple | R1,539 |
| 🟨 Member + 1 Child | R1,112 | 🟨 Couple + 1 Child | R1,796 |
| 🟩 Member + 2 Children | R1,369 | 🟩 Couple + 2 Children | R2,053 |
| 🟦 Member + 3 Children | R1,626 | 🟦 Couple + 3 Children | R2,310 |
| 🟪 Member + 4 Children | R1,883 | 🟪 Couple + 4 Children | R2,567 |
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Day1 Health Platinum 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. |
| 🔵 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 – R20,000
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 Platinum Comprehensive Plan Exclusions and Waiting Periods
Day1 Health Platinum 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.
- ✅ Long-term care or hospice care.
Day1 Health Platinum 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 |
| 🟪 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 |
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Day1 Health Platinum Comprehensive Plan vs Plans Offered by Other Providers
| 🔎 Medical Health Plan | 🥇 Day1 Health Platinum Comprehensive | 🥈 GetSavvi Health Primary Care | 🥉 Momentum Ingwe Plan |
| 🌎 International Cover | None | None | Up to R9.01 million |
| 👤 Main Member Contribution | R855 | From R711 | R482 – R3,163 |
| 👥 Adult Dependent Contribution | R855 – R1,539 | From R711 | R964 – R6,326 |
| 🍼 Child Dependent Contribution | R1,112 – R2,567 | From R711 | R897 – R2,209 (Max 3) |
| 🔁 Gap Cover | None | None | ✅ Yes |
| 🏥 Hospital Cover | Illness Benefit | None | Unlimited |
| 💶 Prescribed Minimum Benefits | ✅ Yes | ✅ Yes | ✅ Yes |
| 😷 Screening and Prevention | None | ✅ Yes | ✅ Yes |
| 💙 Medical Savings Account | None | None | None |
Our Verdict on the Day1 Health Platinum Comprehensive Plan
Day1 Health Platinum Comprehensive is a medical aid plan offered by Day1 Health, a South African health insurance provider. This plan provides comprehensive health coverage for the principal member, including in-hospital treatment, day-to-day medical expenses, and chronic medication. Additionally, this plan offers additional cover for critical illness and accidental permanent disability of the principal member.
The critical illness cover provides a lump sum payout in the event of a serious illness such as cancer, heart attack, or stroke, which can help cover medical expenses or loss of income during recovery.
The accidental permanent disability cover provides financial support if the principal member suffers a permanent disability due to an accident.
However, it is important to note that this plan has some drawbacks. For example, it may not be affordable for everyone, and it might not offer as much coverage for certain medical conditions or treatments as other, more comprehensive medical aid plans.
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 Comprehensive Plan
You might also like: Day1 Health Executive Hospital 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 Platinum Comprehensive Plan Frequently Asked Questions
What is Day1 Health Platinum Comprehensive Plan?
Day1 Health Platinum Comprehensive Plan is a type of health insurance that provides comprehensive coverage for medical expenses, including hospitalization, outpatient care, prescription drugs, and preventive care.
What are the benefits of the Day1 Health Platinum Comprehensive Plan?
The benefits of the Day1 Health Platinum Comprehensive Plan include comprehensive coverage for medical expenses, low out-of-pocket costs, access to a broad network of healthcare providers, and the ability to customize your coverage to fit your needs.
What medical expenses are covered under Day1 Health Platinum Comprehensive Plan?
Day1 Health Platinum Comprehensive Plan covers various medical expenses, including hospitalization, outpatient care, prescription drugs, preventive care, and mental health services.
How much does Day1 Health Platinum Comprehensive Plan cost?
The cost of the Day1 Health Platinum Comprehensive Plan varies depending on factors such as your family dynamic and how many dependents you have. Furthermore, it starts from R855 per single member.
Can I choose my healthcare provider with Day1 Health Platinum Comprehensive Plan?
Yes, Day1 Health Platinum Comprehensive Plan gives you access to a broad network of healthcare providers. In addition, you can choose your provider within the network.
How do I enroll in Day1 Health Platinum Comprehensive Plan?
To enroll in Day1 Health Platinum Comprehensive Plan, contact Day1 Health directly or work with a licensed insurance agent. First, however, you must provide basic information about yourself and your health status to get a personalized quote and enroll in the plan.
