Blue
About this plan
Best suited for individuals seeking comprehensive day-to-day healthcare with private hospital and chronic medication cover. Not a medical aid.
Principal Member
From
R1,080
per month
Adult Dependant
From
R1,060
per month
Child Dependant
From
R675
per month
What's covered
Hospital cover
Savings account
Day-to-day
Chronic cover
Dental
Optical
Maternity
Mental health
Waiting periods
- General
- 3 months
- Pre-existing conditions
- 12 months
Hospital cover details
Private hospital cover for illness and accidents. Covers planned and emergency hospital admissions.
Blue
Oneplan Health Blue Plan (🇿🇦 2026)
Overall, the Oneplan Health Blue Plan is a trustworthy and comprehensive health insurance plan that offers 24/7 medical emergency assistance and Prescribed Minimum Benefits to each Family Member. The Oneplan Health Blue Plan starts from R1080 ZAR.| 🔎 Health Insurance Plan | 🥇 Oneplan Health Blue |
| 👤 Main Member Contribution | R1080 |
| 👥 Adult Dependent Contribution | R2,140 for a couple |
| 🥰 Child Dependent Contribution | R1,755 (Single adult + 1 Child) – R2,775 (Couple + 1 child) |
| 🔁 Gap Cover | None |
| 📈 Annual Limit | R8,650 – R490,000 |
| 💶 Prescribed Minimum Benefits | ✅ Yes |
| 😷 Screening and Prevention | None |
| 💵 Medical Savings Account | None |
| 🍼 Maternity Benefits | ✅ Yes |
Oneplan Health Blue Plan - 7 Key Point Quick Overview
- ✅ Oneplan Health Blue Plan Overview
- ✅ Oneplan Health Blue Plan Premiums
- ✅ Oneplan Health Blue Plan Benefits and Cover Comprehensive Breakdown
- ✅ Oneplan Health Blue Plan Exclusions and Waiting Periods
- ✅ Oneplan Health Blue Plan vs Other Providers or Medical Aid Schemes
- ✅ Our Verdict on the Oneplan Health Blue Plan
- ✅ Oneplan Health Blue Plan Frequently Asked Questions
Oneplan Health Blue Plan Overview
The Oneplan Health Blue Plan is one of 6, starting from R1080, and includes cover for dentistry, dread diseases, natural births and emergency caesareans, trauma counseling, and more. Gap Cover is not available on the Oneplan Health Blue Plan, or 24/7 medical emergency assistance. According to the Trust Index, Oneplan Health has a trust rating of 4.53.
Oneplan Health Insurance has the following six plans to choose from:
- ✅ Blue Plan
- ✅ Core Plan
- ✅ Health Core Plus Plan
- ✅ Executive Plan
- ✅ Professional Plan
- ✅ and the new Health Plan from R250
Oneplan Health Blue Plan Premiums
| 🟥 Family Dynamic | 💵 Monthly Premium |
| 🟧 Single Member | R1,080 |
| 🟨 Single Insured +1 Child | R1,755 |
| 🟩 Single Insured +2 Children | R2,400 |
| 🟦 Single Insured +3 Children | R3,020 |
| 🟪 Single Insured +4 Children | R3,630 |
| 🟥 Couple | R2,140 |
| 🟧 Couple Insured +1 Child | R2,775 |
| 🟨 Couple Insured +2 Children | R3,280 |
| 🟩 Couple Insured +3 Children | R3,750 |
| 🟦 Couple Insured +4 Children | R4,195 |
POLL: 3 Best Hospital Plans Under R1000
Oneplan Health Blue Plan Benefits and Cover Comprehensive Breakdown
Blue Plan Health Cover
| 👨⚕️ Doctor’s Visits | Limited to R440 per visit. |
| 💉 Scripted Medication | Limited to R200 per script. |
| 💊 Over-the-Counter Medication | Limited to R200 per year. |
| 🧪 Pathology | Limited to R530 per event |
| 🧬 Basic Radiology | Limited to R530 per event |
| 🦷 Basic Dentistry | Limited to R720 per visit, up to 3 visits per year. |
| 🍼 Maternity Pre-birth Benefit | Limited to R695 per visit, up to 3 visits per pregnancy. |
| 😎 Optometry | Limited to R1,275 with benefits available after two years from the service date. Subject to a 12-month waiting period. |
Blue Plan Hospital Risk Cover
| ⚠️ Casualty Illness | Limited to R5,800 for all life-threatening illnesses in an emergency or casualty room. There is a 3-month waiting period that applies. There is an excess payable. |
| 🤕 Casualty Accident | Limited to R5,800 for accidents and covers treatment in casualty units that will not result in admission. Immediately available. There is an excess payable. |
| 🩹 Accident Cover | Limited to R245,000 per insured event. Limited to R490,000 per family per year. The cover is immediate. However, contact sport has a 12-month waiting period. There is an excess payable. |
| 🏥 Illness in Hospital | Limited to R70,000 per insured event per person. Limited to R175,000 per insured annually. A 90-day waiting period applies. Certain conditions will be subject to a 12-month waiting period. |
| 🤧 Dread Disease | Limited to R340,000 per defined disease annually. A 6-month waiting period will apply. |
| 👶 Natural Birth and Emergency Caesareans | Limited to R55,000 per insured event per person. The cover is subject to illness and operations’ annual limits. A 12-month waiting period will apply. |
| 🤰 Neonatal Stabilisation | Limited to R55,000 per insured event per person. The cover is subject to the illness and operations’ overall limit. There is a 12-month waiting period that applies. The benefit includes coverage within the first 4 weeks from birth. |
| 📌 Repatriation | Limited to R15,000 per insured person and includes repatriation of mortal remains to the funeral home. The cover is available immediately. |
| 🚑 Ambulance and Emergency Services | The cover is available immediately and includes 24-hour Medical Assistance. The insured will be transported by ambulance to the closest appropriate medical facility if a life-threatening medical emergency occurs. |
Blue Plan Additional Benefits
| ❤️ Accidental Disability | Limited to R220,000 for the duration of the policy. Limited to the principal insured policyholder. |
| 🖤 Family Death Cover | Limited to R15,000 for the principal insured member. Limited to R15,000 for the Spouse/Partner. Limited to R15,000 for every child between 14 and 21 years. Limited to R10,000 per child between 6 to 13 years. Limited to R7,500 per child between 1 to 5 years. |
| 🤍 Trauma, Assault, and Accidental HIV | Includes trauma and assault counseling, accidental HIV protection services, and Accidental HIV infection treatment. |
Discover more about the 5 Best Medical Aid for the Unemployed in South Africa
Oneplan Health Blue Plan Exclusions and Waiting Periods
Oneplan Health Blue Plan Exclusions
Oneplan Health Blue Plan exclusions include, but are not limited to, the following:- ✅ Nuclear weapons, nuclear material, ionizing radiation, or contamination by radioactivity from nuclear fuel or waste from nuclear fuel combustion.
- ✅ War, invasion, an act of a foreign enemy, hostilities, warlike operations, civil war, mutiny, military rising, martial law, state of siege, insurrection, rebellion, or revolution.
- ✅ Cost of operations, treatments, and procedures that are not medically justifiable, i.e. all other lines of conservative treatment, must first be considered.
- ✅ Cosmetic procedures such as breast augmentation, gastroplasty, gender reversal operations, etc.
- ✅ Costs incurred for tests and examinations requested for immigration, emigration, visas, insurance policies, employment, admission to schools and universities, court medical reports, muscle-function tests, fitness examinations, and tests for adopting children and retirement because of ill health.
- ✅ Costs incurred for the treatment of obesity and health holidays.
- ✅ Purchase of certain items such as bandages, cotton wool, and plasters on prescription not used in practitioners’ rooms, food substitutes, food supplements and patent food, incontinence supplies, diabetic strips, and other diabetic consumables, stoma care products, home pregnancy test kits, slimming products and appetite suppressants, prescribed toothpaste, mouthwashes, and ointments for oral hygiene, toiletries and beauty preparations, contraceptives, and medical appliances.
- ✅ Participation in civil commotion, labor disturbances, riots, strikes, or the activities of locked-out workers.
Oneplan Health Blue Plan Waiting Periods
Oneplan Health has the following waiting periods:| 🔴 Doctor’s Visits | 30-day waiting period |
| 🟠 Scripted Medication | 30-day waiting period |
| 🟡 Over-the-Counter Medication | 30-day waiting period |
| 🟢 Pathology | 30-day waiting period |
| 🔵 Radiology | 30-day waiting period |
| 🟣 Dentistry | 90-day waiting period |
| 🟠 Maternity Pre-Birth | 11 months (7 months for new policies, 4 months from date of conception) |
| 🟡 Optometry | 12-month waiting period |
| 🟢 Casualty Illness | 90-day waiting period |
| 🔵 Casualty Accident | No waiting period |
| 🟣 Accident Cover | No waiting period |
| 🔴 Illness in Hospital | 90-day waiting period |
| 🟠 Dread Disease | 6-month waiting period |
| 🟡 Natural Birth and Emergency Caesareans | 12-month waiting period |
| 🟢 Neonatal | 12-month waiting period |
| 🔵 Repatriation | No waiting period |
| 🟣 Ambulance and Emergency Services | No waiting period |
| 🔴 Accidental Disability | No waiting period |
| 🟠 Family Death Cover | No waiting period |
| 🟡 Trauma, Assault, and Accidental HIV | No waiting period |
| 🟢 Excess Buster | No waiting period |
READ more about Hospital Plans
Oneplan Health Blue Plan vs Other Providers or Medical Aid Schemes
| 🔎 Health Insurance Plan | 🥇 Oneplan Health Blue | 🥉 Dischem Health – MyHealth Plus Plan | 🥉 Momentum Ingwe Plan |
| 👤 Main Member Contribution | R1,080 | R765 | R589 |
| 👥 Adult Dependent Contribution | R2,140 for a couple | R765 | R589 |
| 🥰 Child Dependent Contribution | R1,755 (Single adult + 1 Child) – R2,775 (Couple + 1 child) | R492 | R531 |
| 🔁 Gap Cover | None | None | ✅ Yes |
| 📈 Annual Limit | R8,650 – R490,000 | R1.5m Accident Hospitalisation | None |
| 💶 Prescribed Minimum Benefits | ✅ Yes | ✅ Yes | ✅ Yes |
| 😷 Screening and Prevention | None | ✅ Yes | ✅ Yes |
| 💵 Medical Savings Account | None | None | None |
| 🍼 Maternity Benefits | ✅ Yes | ✅ Yes | ✅ Yes |
Our Verdict on the Oneplan Health Blue Plan
Oneplan Health Blue Plan is a comprehensive medical insurance policy offering a range of benefits to cover medical expenses that policyholders incur. The policy offers a combination of hospital cover, outpatient cover, and day-to-day benefits, including unlimited GP consultations and basic dentistry.
The policy covers medical expenses such as hospitalization, emergency medical treatment, specialist consultations, and prescribed medication. Furthermore, the policy also covers dread diseases such as cancer and heart disease. It provides a cash lump sum payout upon diagnosis of these conditions.
However, the policy has certain limitations and exclusions that may affect the scope of coverage. For example, pre-existing conditions have a waiting period, and certain conditions are not covered under the policy, such as cosmetic surgery and infertility treatment.
The policy also limits some benefits, such as casualty cover, which is limited to R5,600 per event. Furthermore, the policy document specifies that the policy will not cover expenses incurred outside of South Africa, and there are limitations on the coverage of chronic medication. The policy also has certain age restrictions for benefits such as maternity and wellness programs.
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