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Oneplan

Core

About this plan

Best suited for individuals seeking affordable day-to-day healthcare with enhanced GP, dental, optical and specialist benefits. Not a medical aid.
Principal Member
From
R535
per month
Adult Dependant
From
R535
per month
Child Dependant
From
R400
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

Core

main-banner-Oneplan-Health-Insurance-Core-Plan

Oneplan Health Core Plan ( πŸ‡ΏπŸ‡¦ 2026)

Overall, the Oneplan Health Core Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and accident coverage to each Family Member. The Oneplan Health Core Plan starts from R535 ZAR.    
πŸ”Ž Medical PlanπŸ₯‡ Oneplan Health Core
🌎 International CoverNone
πŸ‘€ Main Member ContributionR535
πŸ‘₯ Adult Dependent ContributionR1070 for a couple
πŸ‘Ά Child Dependent ContributionR935 (Single adult + 1 Child) – R1,445 (Couple + 1 child)
πŸ” Gap CoverNone
πŸ“ˆ Accident DisabilityR210 000
😷 Screening and PreventionNone
πŸ’Ά Medical Savings AccountNone
🍼 Maternity Benefitsβœ… Yes
    Oneplan Health Core Plan

Oneplan Health Core Plan - 7 Key Point Quick Overview

  1. βœ… Oneplan Health Core Plan Overview
  2. βœ… Oneplan Health Core Plan Premiums
  3. βœ… Oneplan Health Core Plan Benefits and Cover Comprehensive Breakdown
  4. βœ… Oneplan Health Core Plan Exclusions and Waiting Periods
  5. βœ… Oneplan Health Core Plan vs Other Providers or Medical Aid Schemes
  6. βœ… Our Verdict on the Oneplan Health Core Plan
  7. βœ… Oneplan Health Core Plan Frequently Asked Questions

Oneplan Health Core Plan Overview

OnePlan Health Core Plan Overview     The Oneplan Health Core plan is one of 6, starting from R535, and includes basic cover for doctor visits, scripted medicine, optometry, casualty illness, accident cover, and more.Β  Gap Cover is not available on the Oneplan Health Core Plan, or available 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:  
  1. βœ… Oneplan Health Blue Plan
  2. βœ… Oneplan Health Core Plan
  3. βœ… Oneplan Health Core Plus Plan
  4. βœ… Oneplan Health Executive Plan
  5. βœ… Oneplan Health Professional Plan
  6. βœ… Health Plan from R250
Oneplan Health Core Plan Overview

Health Insurance Oneplan Health Core Plan Premiums

Private Health Care that is affordable :

 
πŸŸ₯ Family DynamicπŸ’΄ Monthly Premium
🟧 Single MemberR535
🟨 Single Insured +1 ChildR935
🟩 Single Insured +2 ChildrenR1,290
🟦 Single Insured +3 ChildrenR1,610
πŸŸͺ Single Insured +4 ChildrenR1,900
πŸŸ₯ CoupleR1,070
🟧 Couple Insured +1 ChildR1,445
🟨 Couple Insured +2 ChildrenR1,780
🟩 Couple Insured +3 ChildrenR2,090
🟦 Couple Insured +4 ChildrenR2,395
 

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OnePlan health Plans for 2026

Oneplan Health Core Plan Benefits and Cover Comprehensive Breakdown

OnePlan Core 2026

Core Plan Health Cover

 
πŸ‘¨β€βš•οΈ Doctor’s VisitsLimited to R420 per visit.
πŸ’‰ Scripted MedicationLimited to R180 per script. .
πŸ’Š Over-the-Counter MedicationLimited to R180 per year.
πŸ§ͺ PathologyLimited to R510 per event
⚠️ Basic RadiologyLimited to R510 per visit.
🦷 Basic DentistryLimited to R685 per visit, up to 3 visits per year.
🍼 Maternity Pre-birth BenefitLimited to R685 per visit, up to 3 visits per pregnancy.
😎 OptometryLimited to R1,185 with benefits available after two years from the service date. Subject to a 12-month waiting period.
 

Core Plan Hospital Risk Cover

 
⚠️ Casualty AccidentLimited to R5,800 for accidents and covers treatment in casualty units that will not result in admission. Immediately available. There is an excess payable.
πŸ…°οΈ Accident CoverLimited to R190,000 per insured event. Limited to R380,000 per family per year. The cover is immediate. However, contact sport has a 12-month waiting period. There is an excess payable.
πŸ…±οΈ RepatriationLimited to R15,000 per insured person and includes repatriation of mortal remains to the funeral home. The cover is available immediately.
πŸš‘ Ambulance and Emergency ServicesThe 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.
 

READ more about the 5 Best Hospital Plans for Farm Workers

Core Plan Additional Benefits

 
πŸŸ₯ Accidental DisabilityLimited to R210,000 for the duration of the policy. Limited to the principal insured policyholder.
🟧 Family Death CoverLimited to R13,000 for the principal insured member. Limited to R13,000 for the Spouse/Partner. Limited to R13,000 for every child between 14 and 21 years. Limited to R9,000 per child between 6 to 13 years. Limited to R7,000 per child between 1 to 5 years.
🟨 Trauma, Assault, and Accidental HIVIncludes trauma and assault counseling, accidental HIV protection services, and Accidental HIV infection treatment.
    Oneplan Health Core Plan vs Other Providers or Medical Aid Schemes

Oneplan Health Core Plan Exclusions and Waiting Periods

Oneplan Health Core Plan Exclusions

Oneplan Health Core Plan exclusions include, but are not limited to, the following:  
  • βœ… Nuclear weapons, nuclear material, ionizing radiation, or contamination by radioactivity from nuclear fuel or waste from nuclear fuel combustion.
  • βœ… 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.
  • βœ… Cost of operations, treatments, and procedures that are not medically justifiable, i.e. all other lines of conservative treatment, must first be considered.
  • βœ… Cosmetic procedures such as breast augmentation, gastroplasty, gender reversal operations, etc.
  • βœ… 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.
  • βœ… Costs incurred for the treatment of obesity and health holidays.
  • βœ… 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.
  • βœ… Participation in civil commotion, labor disturbances, riots, strikes, or the activities of locked-out workers.
  Participation in any race or speed test other than on foot or non-mechanically propelled watercraft, and more.    

Oneplan Health Core Plan Waiting Periods

  Oneplan Health has the following waiting periods:  
πŸŸ₯ Doctor’s Visits30-day waiting period
🟧 Scripted Medication30-day waiting period
🟨 Over-the-Counter Medication30-day waiting period
🟩 Pathology30-day waiting period
🟦 Radiology30-day waiting period
πŸŸͺ Dentistry90-day waiting period
🟧 Maternity Pre-Birth11 months (7 months for new policies, 4 months from date of conception)
🟨 Optometry12-month waiting period
🟩 Casualty Illness90-day waiting period
🟦 Casualty AccidentNo waiting period
πŸŸͺ Accident CoverNo waiting period
🟦 RepatriationNo waiting period
πŸŸͺ Ambulance and Emergency ServicesNo waiting period
πŸŸ₯ Accidental DisabilityNo waiting period
🟧 Family Death CoverNo waiting period
🟨 Trauma, Assault, and Accidental HIVNo waiting period
🟩 Excess BusterNo waiting period
 

Discover more about Pet Health Cover

Oneplan Health Core Plan Exclusions and Waiting Periods

Oneplan Health Core Plan vs Other Providers or Medical Aid Schemes

 
πŸ”Ž Medical PlanπŸ₯‡ Oneplan Health CoreπŸ₯ˆ Affinity Health Day-to-DayπŸ₯‰ Dischem Health - MyHealth Plus Plan
πŸ‘€ Main Member ContributionR535R869R765
πŸ‘₯ Adult Dependent ContributionR1,070 for a coupleR789R765
πŸ‘Ά Child Dependent ContributionR935 (Single adult + 1 Child) – R1,445 (Couple + 1 child)R419R492
πŸ” Gap CoverNoneNoneNone
😷 Screening and PreventionNoneβœ… Yesβœ… Yes
πŸ’Ά Medical Savings AccountNoneNoneNone
🍼 Maternity Benefitsβœ… Yesβœ… Yesβœ… Yes
 

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Oneplan Health Core Plan vs

Our Verdict on the Oneplan Health Core Plan

OnePlan Health Core Plan Verdict     Oneplan Health Core is a comprehensive health insurance plan that covers some medical expenses. The cover includes limited consultations with general practitioners, consultations with specialists, hospitalization, and chronic medication. Additionally, Oneplan Health Core covers emergency services, radiology, pathology, and maternity care. The plan also includes a wellness program that includes a variety of health screenings and checkups.   Coverage for medical expenses is one of the primary advantages of the Oneplan Health Core plan. The plan covers many medical services, including scripted medication, frequently excluded from other insurance plans. In addition, unrestricted access to general practitioners makes it easy for members to seek medical care whenever necessary.   In addition to being a useful feature, the wellness program encourages members to take a proactive approach to their health. However, the Oneplan Health Core plan has some disadvantages. The extended waiting periods for certain benefits, such as in-hospital treatment and maternity, are two major restrictions.   This could be a significant disadvantage for those needing immediate medical care. In addition, the plan also excludes cover for certain medical services, such as cosmetic procedures and infertility treatment. This means that members may be required to pay out of pocket for these services.   However, despite these drawbacks, Oneplan Health Core covers several treatments and services, saving insured members a significant amount of money.      

Oneplan Health Core Plan Frequently Asked Questions

What is the Oneplan Health Core plan?

Oneplan Health Core is an entry-level health insurance plan offered by Oneplan Health. It covers basic services from over-the-counter medication, dentistry, ambulance and emergency services, and more.  

What does the Oneplan Health Core plan cover?

Oneplan Health Core plan covers a range of services, including pathology, radiology, maternity pre-birth, optometry, casualty illness, and more.  

How much does the Oneplan Health Core plan cost?

Oneplan Health Core ranges from R535 per insured person to R2,395 for a couple with 4 children.  

What is the deductible for the Oneplan Health Core plan?

The deductible for the Oneplan Health Core plan will vary depending on the plan and the specific needs of the individual.  

Are there waiting periods for the Oneplan Health Core plan?

Yes, there are waiting periods for certain services under the Oneplan Health Core plan, ranging from 30 days to 12 months, depending on the benefit.  

Can I choose my doctors with the Oneplan Health Core plan?

Oneplan Health Core plan provides cover for a network of healthcare providers. Furthermore, you can choose your doctors within this network.  

Does Oneplan Health Core plan provide cover for pre-existing conditions?

Oneplan Health Core plan covers pre-existing conditions but has waiting periods and limitations.  

How do I enroll in the Oneplan Health Core plan?

You can enroll in the Oneplan Health Core plan by visiting the Oneplan Health website or contacting them directly. You must provide personal information and select the plan that best meets your needs.
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