Oneplan Health Executive Plan

 

Overall, the Oneplan Health Executive Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and Hospital Cover to up to 3 Family Members. The Oneplan Health Executive Plan starts from R1,765 ZAR.

 

🔎 Medical Plan	🥇 Oneplan Health Professional
🌎 International Cover	None
👤 Main Member Contribution	R1,765
👥 Adult Dependent Contribution	R3,130 for a couple
😊 Child Dependent Contribution	R2,585 (Single adult + 1 Child) – R3,880 (Couple + 1 child)
🔁 Gap Cover	None
🏥 Hospital Cover	✅ Yes
📌 Screening and Prevention	None
💙 Medical Savings Account	None
🍼 Maternity Benefits	✅ Yes

 

 

 

Oneplan Health Executive Plan – 7 Key Point Quick Overview

 

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

 

 

Oneplan Health Executive Plan Overview

 

The Oneplan Health Executive Plan is one of 4, starting from R1,765 and includes the most cover, including scripted and OTC medicine, specialist cover, maternity pre-birth and postnatal benefits, accidental disability, and more. Gap Cover is not available on the Oneplan Health Executive Plan, along with 24/7 medical emergency assistance. According to the Trust Index, Oneplan Health has a trust rating of 9.9.

 

Oneplan Health Insurance has the following four plans to choose from:

 

✅ Oneplan Health Blue Plan
✅ Oneplan Health Core Plan
✅ Oneplan Health Executive Plan
✅ Oneplan Health Professional Plan

 

 

Oneplan Health Executive Plan Premiums

 

🟥 Family Dynamic	💴 Monthly Premium
🟧 Single Member	R1,765
🟨 Single Insured +1 Child	R2,585
🟩 Single Insured +2 Children	R3,325
🟦 Single Insured +3 Children	R3,910
🟪 Single Insured +4 Children	R4,480
🟥 Couple	R3,130
🟧 Couple Insured +1 Child	R3,880
🟨 Couple Insured +2 Children	R4,605
🟩 Couple Insured +3 Children	R5,155
🟦 Couple Insured +4 Children	R5,720

 

Discover more about GAP Cover

 

 

Oneplan Health Executive Plan Benefits and Cover Comprehensive Breakdown

 

Executive Plan Health Cover

 

👨‍⚕️ Doctor’s Visits	Limited to R550 per visit. Limited to R3,005 annually per single policyholder. Limited to R6,010 annually per family (2 – 3 dependents). Limited to R7,300 annually per family (4> dependents). Subject to a 30-day waiting period.
💉 Scripted Medication	Limited to R315 per script. Limited to R1,260 annually per single policyholder. Limited to R1,825 annually per family (2 – 3 dependents). Limited to R2,435 annually per family (4> dependents). Subject to a 30-day waiting period.
💊 Over-the-Counter Medication	Limited to R315 per year. Limited to R315 annually per single policyholder. Limited to R945 annually per family (2 – 3 dependents). Limited to R1,260 annually per family (4> dependents). Subject to a 30-day waiting period.
🧪 Pathology	Limited to R695 per event Limited to R3,695 annually per single policyholder. Limited to R4,925 annually per family (2 – 3 dependents). Limited to R6,315 annually per family (4> dependents). Subject to a 30-day waiting period. Requires a doctor’s referral.
🧬 Basic Radiology	Limited to R695 per event Limited to R3,695 annually per single policyholder. Limited to R4,925 annually per family (2 – 3 dependents). Limited to R6,315 annually per family (4> dependents). Subject to a 30-day waiting period. Requires a doctor’s referral.
🦷 Dentistry	Limited to R905 per visit, up to 3 visits per year. Limited to R2,705 annually per single policyholder. Limited to R4,505 annually per family (2 – 3 dependents). Limited to R6,310 annually per family (4> dependents). Subject to a 90-day waiting period.
🧡 Specialist Cover	Limited to R2,215 per visit. Limited to 3 visits per family annually. A referral is required and will be subject to pre-authorization. Subject to a 90-day waiting period.
🍼 Maternity Pre-birth Benefit	Limited to R705 per visit, up to 3 visits per pregnancy. Overall annual limit of R2,810 All new policies have a 7-month waiting period followed by a 4-month waiting period from conception.
😎 Optometry	Limited to R1,760 with benefits available after two years from the service date. Subject to a 12-month waiting period.

 

Executive Plan Hospital Risk Cover

 

⚠️ Casualty Illness	Limited to R6,100 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 R6,100 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 R340,000 per insured event. Limited to R680,000 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 R80,000 per insured event per person. Limited to R200,000 per insured annually. A 90-day waiting period applies. Certain conditions will be subject to a 12-month waiting period.
😷 Dread Disease	Limited to R390,000 per defined disease annually. A 6-month waiting period will apply.
👶 Natural Birth and Emergency Caesareans	Limited to R75,000 per insured event per person. The cover is subject to illness and operations’ annual limits. A 12-month waiting period will apply.
🍼 Neonatal Benefits	Limited to R75,000 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.

 

POLL: 5 Best Hospital Plans under R500

 

Executive Plan Additional Benefits

 

🖤 Accidental Disability	Limited to R230,000 for the duration of the policy. Limited to the principal insured policyholder.
☠️ Family Death Cover	Limited to R25,000 for the principal insured member. Limited to R25,000 for the Spouse/Partner. Limited to R25,000 for every child between 14 and 21 years. Limited to R15,000 per child between 6 to 13 years. Limited to R10,000 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.

 

 

Oneplan Health Executive Plan Exclusions and Waiting Periods

 

Oneplan Health Executive Plan Exclusions

 

Oneplan Health Executive 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.
• The 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.

 

Participation in any race or speed test other than on foot or non-mechanically propelled watercraft, and more.

 

READ our article about Dangerous Drugs

 

Oneplan Health Executive 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	30-day waiting period
🟥 Specialist Cover	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

 

 

Oneplan Health Executive Plan vs Other Providers or Medical Aid Schemes

 

🔎 Medical Plan	🥇 Oneplan Health Professional	🥈 Discovery Health Essential Dynamic Smart	🥉 KeyHealth Origin
🌎 International Cover	None	R5 million	✅ Yes
👤 Main Member Contribution	R1,765	R1,565	R2,250
👥 Adult Dependent Contribution	R3,130 for a couple	R1,565	R1,603
😊 Child Dependent Contribution	R2,585 (Single adult + 1 Child) – R3,880 (Couple + 1 child)	R1,565	R733
🔁 Gap Cover	None	✅ Yes	✅ Yes
🏥 Hospital Cover	✅ Yes	Unlimited	Unlimited
📌 Screening and Prevention	None	✅ Yes	✅ Yes
💙 Medical Savings Account	None	None	None
🍼 Maternity Benefits	✅ Yes	✅ Yes	✅ Yes

 

Discover 10 Easy Ways to Get Cheaper Medical Aid

 

Our Verdict on the Oneplan Health Executive Plan

 

The Oneplan Health Executive Plan is a comprehensive health insurance plan that covers various medical expenses, including hospitalization, chronic medication, and day-to-day medical expenses, such as doctor consultations, blood tests, and x-rays.

 

The plan covers specialist consultations, maternity benefits, and emergency medical transportation.  The Executive Plan offers an affordable monthly premium, making it accessible to many individuals and families. It also includes higher annual overall limits than other Oneplan Health plans, ensuring that insured persons receive the best possible coverage.

 

The plan allows insured persons to choose their preferred healthcare providers, including hospitals, doctors, and specialists, as long as they are registered with the Health Professions Council of South Africa (HPCSA).

 

Furthermore, this gives insured persons the flexibility to choose the healthcare providers that best suit their needs.

 

 

• You might also like: Oneplan Health Blue Plan
• You might also like: Oneplan Health Core Plan
• You might also like: Oneplan Health Professional Plan
• You might also like: Oneplan Health Insurance Review

 

 

 

Oneplan Health Executive Plan Frequently Asked Questions

 

What is the Oneplan Health Executive Plan?

The Executive Plan is a comprehensive health insurance plan offered by Oneplan Health that covers hospitalization, chronic medication, and day-to-day medical expenses.

 

How much does the Oneplan Executive Plan cost?

This will depend on whether you register for cover as a single member, couple, or family, with premiums starting from R1,765.

 

What medical expenses are covered under the Executive Plan?

The Oneplan Health Executive Plan covers a wide range of medical expenses, including hospitalization, chronic medication, doctor consultations, blood tests, x-rays, and emergency medical transportation.

 

Can I choose my own healthcare providers with the Oneplan Health Executive Plan?

Yes, you can choose your preferred healthcare providers if they are registered with the Health Professions Council of South Africa (HPCSA).

 

What is the annual limit for the Oneplan Executive Plan?

The Executive Plan includes higher annual overall limits of up to R18,165 – R680,000 for accident cover, R200,000 for illness in hospital, R390,000 for dread disease, and more, especially when compared to other Oneplan Health plans, ensuring that insured persons receive the best possible cover.

 

Is there a waiting period for the Oneplan Health Executive Plan?

Yes, there is a waiting period of up to 3 months for hospitalization and major medical procedures. However, emergency cover is available immediately, including casualty accidents, accident cover, repatriation, etc.

 

Does the Oneplan Health Executive Plan cover pre-existing conditions?

Pre-existing conditions are not covered for the first 12 months of the policy. However, after this waiting period, the condition could be covered subject to the plan’s terms and conditions.

 

Can I upgrade or downgrade my Executive Plan cover?

Yes, you can upgrade or downgrade your Executive Plan coverage anytime by contacting Oneplan Health’s customer service team. However, changes to your plan could be subject to waiting periods and other terms and conditions.