Day1 Health Value Plus Comprehensive Plan
Overall, the Day1 Health Value Plus 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 Value Plus Comprehensive Plan starts from R565 ZAR. Day1 Health has a trust score of 3.1.
| 🔎 Medical Health Plan | 🥇 Day1 Health Value Plus Comprehensive |
| 🌎 International Cover | None |
| 👤 Main Member Contribution | R565.00 |
| 👥 Adult Dependent Contribution | R947 – R1,851 |
| 😊 Child Dependent Contribution | R791 – R1,851 |
| 🔁 Gap Cover | None |
| 📊 Prescribed Minimum Benefits | ✅ Yes |
| 😷 Screening and Prevention | None |
| 💶 Medical Savings Account | None |
| 🍼 Maternity Benefits | None |
Day1 Health Value Plus Comprehensive Plan – 7 Key Point Quick Overview
- ✅ Day1 Health Value Plus Comprehensive Plan Overview
- ✅ Day1 Health Value Plus Comprehensive Plan Premiums
- ✅ Day1 Health Value Plus Comprehensive Plan Benefits and Cover Comprehensive Breakdown
- ✅ Day1 Health Value Plus Comprehensive Plan Exclusions and Waiting Periods
- ✅ Day1 Health Value Plus Comprehensive Plan vs Plans Offered by Other Providers
- ✅ Our Verdict on the Day1 Health Value Plus Comprehensive Plan
- ✅ Day1 Health Value Plus Comprehensive Plan Frequently Asked Questions
Day1 Health Value Plus Comprehensive Plan Overview
The Day1 Health Value Plus Comprehensive Plan is one of 10, starting from R565, and includes Pathology, Specialist Benefits, Basic Dentistry, Acute and Chronic Medication, 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 Value Plus Comprehensive Plan Premiums
| 🅰️ Family Dynamic | 🅱️ Premium | 🅰️ Family Dynamic | 🅱️ Premium |
| 🟧 Single Member | R565 | 🟧 Couple | R947 |
| 🟨 Member + 1 Child | R791 | 🟨 Couple + 1 Child | R1,173 |
| 🟩 Member + 2 Children | R1,017 | 🟩 Couple + 2 Children | R1,399 |
| 🟦 Member + 3 Children | R1,243 | 🟦 Couple + 3 Children | R1,625 |
| 🟪 Member + 4 Children | R1,469 | 🟪 Couple + 4 Children | R1,851 |
Consider adding GAP Cover. You might like to read more about the 5 Best Gap Cover Options for Under R1500
Day1 Health Value Plus 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 | As specified by the Iso Leso Optics protocol, 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 – 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 Value Plus Comprehensive Plan Exclusions and Waiting Periods
Day1 Health Value Plus 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 Value Plus Comprehensive Plan.
Day1 Health Value Plus 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 |
| 🟧 Family Funeral Benefit | 3 Months |
| 🟨 24-Hour Emergency Services Ambulance and Pre-Authorisation | Immediate |
Read more about the 5 Affordable Medical Aids for College Students
Day1 Health Value Plus Comprehensive Plan vs Plans Offered by Other Providers
| 🔎 Medical Health Plan | 🥇 Day1 Health Value Plus Comprehensive | 🥈 Dis-Chem Health MyHealth Plus | 🥉 GetSavvi Health Primary Care |
| 🌎 International Cover | None | None | None |
| 👤 Main Member Contribution | R565.00 | R620 – R739 | From R542 |
| 👥 Adult Dependent Contribution | R947 – R1,851 | R620 – R739 | From R542 |
| 😊 Child Dependent Contribution | R791 – R1,851 | R425 – R477 | From R542 |
| 🔁 Gap Cover | None | ✅ Yes | None |
| 📊 Prescribed Minimum Benefits | ✅ Yes | ✅ Yes | ✅ Yes |
| 😷 Screening and Prevention | None | ✅ Yes | ✅ Yes |
| 💶 Medical Savings Account | None | None | None |
| 🍼 Maternity Benefits | None | ✅ Yes | ✅ Yes |
Discover the 5 Best Hospital Plans under R500
Our Verdict on the Day1 Health Value Plus Comprehensive Plan
The Day1 Health Value Plus Comprehensive 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 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 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 Value Plus Comprehensive Plan Frequently Asked Questions
What is included in the Day1 Health Value Plus Comprehensive Plan?
The plan includes basic radiology, dentistry, optometry, accidental cover, unlimited GP visits, emergency medical assistance, and wellness benefits.
How much does the Day1 Health Value Plus Comprehensive Plan cost?
The plan’s cost varies depending on the age and number of individuals covered. You can get a quote from the Day1 Health website.
Is hospitalization covered in the Day1 Health Value Plus Comprehensive Plan?
Yes, hospitalization is covered, but the cover is limited to illnesses.
What is the process for claiming the Day1 Health Value Plus Comprehensive Plan?
You claim online or by calling the Day1 Health Claims department. You must provide your policy number, service date, and other relevant information.
Can I compare Day1 Health Value Plus Comprehensive Plan with other health insurance plans?
You can compare the plan with other health insurance plans to see which one best suits your needs. However, it is recommended to review each plan’s policy terms and conditions carefully.
Is dental care covered under the Day1 Health Value Plus Comprehensive Plan?
Yes, dental care is covered under the plan. However, the coverage is limited to basic dental procedures, and major procedures may not be covered.
