Day1 Health Value Plus Comprehensive Senior Plan
Overall, the Day1 Health Value Plus Comprehensive Senior Plan is a trustworthy and comprehensive medical aid plan that offers basic health coverage for seniors with additional benefits. The Day1 Health Value Plus Comprehensive Senior Plan starts from R775 ZAR. Day1 Health has a trust score of 3.1.
| 🔎 Medical Health Plan | 🥇 Day1 Health Value Plus Comprehensive Senior |
| 🌎 International Cover | None |
| 👤 Main Member Contribution | R775 |
| 👥 Adult Dependent Contribution | R1,550 (Couple) |
| 🍼 Child Dependent Contribution | Not available on the plan |
| 🔁 Gap Cover | None |
| 📉 Annual Limit | None |
| 💶 Prescribed Minimum Benefits | ✅ Yes |
| 😷 Screening and Prevention | None |
| 💙 Medical Savings Account | None |
Day1 Health Value Plus Comprehensive Senior Plan – 7 Key Point Quick Overview
- ✅ Day1 Health Value Plus Comprehensive Senior Plan Overview
- ✅ Day1 Health Value Plus Comprehensive Senior Plan Premiums
- ✅ Day1 Health Value Plus Comprehensive Senior Plan vs Plans Offered by Other Providers
- ✅ Day1 Health Value Plus Comprehensive Senior Plan Benefits and Cover Comprehensive Breakdown
- ✅ Day1 Health Value Plus Comprehensive Senior Plan Exclusions and Waiting Periods
- ✅ Our Verdict on the Day1 Health Value Plus Comprehensive Senior Plan
- ✅ Day1 Health Value Plus Comprehensive Senior Plan Frequently Asked Questions
Day1 Health Value Plus Comprehensive Senior Plan Overview
The Day1 Health Value Plus Comprehensive Senior Plan is one of 10, starting from R775. It includes unlimited managed doctor visits, basic dentistry, medication, funeral benefit, 24-hour emergency services, and more.
The Value Plus Comprehensive Senior Plan may be a good option for seniors looking for basic health coverage with additional benefits.
Gap Cover is unavailable on the Day1 Health Value Plus Comprehensive Senior Plan. However, Day1 Health offers 24/7 medical emergency assistance.
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 Value Plus Comprehensive Senior Plan Premiums
| 🅰️ Family Dynamic | 🅱️ Premium | 🅰️ Family Dynamic | 🅱️ Premium |
| Single Member | R775 | Couple | R1,550 |
Adding GAP Cover is advisable. You might like to read more about the 5 Best Gap Cover Options for Under R1500
Day1 Health Value Plus Comprehensive Senior Plan vs Plans Offered by Other Providers
| 🔎 Medical Health Plan | 🥇 Day1 Health Value Plus Comprehensive Senior | 🥈 GetSavvi Health Primary Care | 🥉 Fedhealth FlexiFED Savvy |
| 🌎 International Cover | None | None | None |
| 👤 Main Member Contribution | R775 | From R1,132 | R945 |
| 👥 Adult Dependent Contribution | R1,550 (Couple) | From R1,132 | R945 |
| 🍼 Child Dependent Contribution | Not available on the plan | From R1,132 | R709 |
| 🔁 Gap Cover | None | None | None |
| 📉 Annual Limit | None | R188,500 | Unlimited Hospital Cover |
| 💶 Prescribed Minimum Benefits | ✅ Yes | ✅ Yes | ✅ Yes |
| 😷 Screening and Prevention | None | ✅ Yes | ✅ Yes |
| 💙 Medical Savings Account | None | None | ✅ Yes |
Day1 Health Value Plus Comprehensive Senior 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. |
| 🟡 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 75,000 per individual and R150,000 per family per incident. Immediate security. |
| 🔵 Family Funeral Benefit | The Family Funeral Benefit is as follows:
Principal Member and Spouse – R5,000 |
| 🟣 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. |
Discover the 5 Best Hospital Plans under R200
Day1 Health Value Plus Comprehensive Senior Plan Exclusions and Waiting Periods
Day1 Health Value Plus Comprehensive Senior 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 this plan.
Day1 Health Value Plus Comprehensive Senior 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 |
| 🟩 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 |
| 🟦 Family Funeral Benefit | 3 Months |
| 🟪 Accident/Trauma Benefit | Immediate |
| 🟥 24-Hour Emergency Services Ambulance and Pre-Authorisation | Immediate |
Our Verdict on the Day1 Health Value Plus Comprehensive Senior Plan
The Value Plus Comprehensive Senior Plan offered by Day1 Health is designed specifically for seniors seeking health insurance coverage. The plan covers managed doctor visits, optometry services, acute and chronic medication, and additional benefits like dentistry and pathology services.
However, it is worth noting that the Value Plus Comprehensive Senior Plan provides fewer benefits compared to other plans offered by Day1 Health and has lower annual limits on trauma and accidents. As a result, this may not be suitable for individuals with more extensive healthcare needs.
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 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 Hospital Plan
You might also like: Day1 Health Value Plus Hospital Senior Plan
Day1 Health Value Plus Comprehensive Senior Plan Frequently Asked Questions
What is the Value Plus Comprehensive Senior Plan offered by Day1 Health?
The Value Plus Comprehensive Senior Plan is a health insurance plan designed specifically for seniors in South Africa. It covers managed doctor visits, optometry services, acute and chronic medication, dentistry, pathology services, and other benefits.
What is the age limit for the Value Plus Comprehensive Senior Plan?
The plan is available for individuals aged 60 and above.
Are pre-existing conditions covered under the Value Plus Comprehensive Senior Plan?
Yes, pre-existing conditions are covered under the plan after a waiting period of 12 months.
Can I choose my own doctor with the Value Plus Comprehensive Senior Plan?
The plan focuses on managed care and uses a network of healthcare providers. You will need to select a doctor from the network provided by Day1 Health.
Does the Value Plus Comprehensive Senior Plan provide cover for hospitalization?
Yes, the plan provides some cover for hospitalization, but this is limited to illness.
Does the Value Plus Comprehensive Senior Plan provide coverage for prescription drugs?
Yes, the plan provides cover for both acute and chronic medication.
