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Oneplan

Executive

About this plan

Best suited for individuals seeking comprehensive healthcare with premium hospital, chronic and day-to-day benefits. Not a medical aid.
Principal Member
From
R2,175
per month
Adult Dependant
From
R1,680
per month
Child Dependant
From
R1,010
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.

Executive

main-banner-Oneplan-Health-Insurance-Executive-Plan

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

  Overall, the Oneplan Health Executive Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and Hospital coverage to each Family Member. The Oneplan Health Executive Plan starts from R2,175 ZAR.  
πŸ”Ž Medical PlanπŸ₯‡ Oneplan Health Professional
🌎 International CoverNone
πŸ‘€ Main Member ContributionR2,175
πŸ‘₯ Adult Dependent ContributionR3,855 for a couple
😊 Child Dependent ContributionR3,185 (Single adult + 1 Child) – R4,780 (Couple + 1 child)
πŸ” Gap CoverNone
πŸ₯ Hospital Coverβœ… Yes
πŸ“Œ Screening and PreventionNone
πŸ’™ Medical Savings AccountNone
🍼 Maternity Benefitsβœ… Yes
    Oneplan Health Executive Plan

Oneplan Health Executive Plan - 7 Key Point Quick Overview

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

Oneplan Health Executive Plan Overview

One Plan Executive Overview     The Oneplan Health Executive Plan is one of 6, starting from R2,175. It 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 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:   Oneplan Health Executive Plan Overview

Oneplan Health Executive Plan Premiums

 
πŸŸ₯ Family DynamicπŸ’΄ Monthly Premium
🟧 Single MemberR2,175
🟨 Single Insured +1 ChildR3,185
🟩 Single Insured +2 ChildrenR4,100
🟦 Single Insured +3 ChildrenR4,820
πŸŸͺ Single Insured +4 ChildrenR5,520
πŸŸ₯ CoupleR3,855
🟧 Couple Insured +1 ChildR4,780
🟨 Couple Insured +2 ChildrenR5,675
🟩 Couple Insured +3 ChildrenR6,355
🟦 Couple Insured +4 ChildrenR7,045
 

Β Discover more about GAP Cover

OnePlan health Plans for 2026

Oneplan Health Executive Plan Benefits and Cover Comprehensive Breakdown

OnePlan Executive

Executive Plan Health Cover

 
πŸ‘¨β€βš•οΈ Doctor’s VisitsLimited to R550 per visit.
πŸ’‰ Scripted MedicationLimited to R315 per script.
πŸ’Š Over-the-Counter MedicationLimited to R315 per year.
πŸ§ͺ PathologyLimited to R695 per event
🧬 Basic RadiologyLimited to R695 per event
🦷 DentistryLimited to R905 per visit, up to 3 visits per year.
🧑 Specialist CoverLimited to R2,215 per visit.
🍼 Maternity Pre-birth BenefitLimited to R705 per visit, up to 4 visits per pregnancy.
😎 OptometryLimited 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 IllnessLimited to R6,200 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.
πŸ€• Casualty AccidentLimited to R6,200 for accidents and covers treatment in casualty units that will not result in admission. Immediately available. There is an excess payable.
πŸ’™ Accident CoverLimited to R350,000 per insured event. Limited to R700,000 per family per year. The cover is immediate. However, contact sport has a 12-month waiting period. There is an excess payable.
πŸ₯ Illness in HospitalLimited to R85,000 per insured event per person. Limited to R212,500 per insured annually. A 90-day waiting period applies. Certain conditions will be subject to a 12-month waiting period.
😷 Dread DiseaseLimited to R395,000 per defined disease annually. A 6-month waiting period will apply.
πŸ‘Ά Natural Birth and Emergency CaesareansLimited 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 StabilisationLimited 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.
πŸ’› 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.
 

POLL: 5 Best Hospital Plans under R500

Executive Plan Additional Benefits

 
πŸ–€ Accidental DisabilityLimited to R230,000 for the duration of the policy. Limited to the principal insured policyholder.
☠️ Family Death CoverLimited 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.
β˜‘οΈ Trauma, Assault, and Accidental HIVIncludes trauma and assault counseling, accidental HIV protection services, and Accidental HIV infection treatment.
    Oneplan Health Executive Plan Benefits and Cover Comprehensive Breakdown

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:  
  • 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… The 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.  

READ our article about Dangerous Drugs

Oneplan Health Executive 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
πŸŸ₯ Specialist Cover90-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
πŸŸ₯ Illness in Hospital90-day waiting period
🟧 Dread Disease6-month waiting period
🟨 Natural Birth and Emergency Caesareans12-month waiting period
🟩 Neonatal12-month 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
    Oneplan Health Executive Plan Exclusions and Waiting Periods

Oneplan Health Executive Plan vs Other Providers or Medical Aid Schemes

 
πŸ”Ž Medical PlanπŸ₯‡ Oneplan Health ProfessionalπŸ₯ˆ Discovery Health Essential Dynamic SmartπŸ₯‰ KeyHealth Origin
🌎 International CoverNoneR5 millionβœ… Yes
πŸ‘€ Main Member ContributionR2,175R1,681R2,633
πŸ‘₯ Adult Dependent ContributionR3,855 for a coupleR1,681R1,876
😊 Child Dependent ContributionR3,185 (Single adult + 1 Child) – R4,780 (Couple + 1 child)R1,681R859
πŸ” Gap CoverNoneNoneNone
πŸ₯ Hospital Coverβœ… YesUnlimitedUnlimited
πŸ“Œ Screening and PreventionNoneβœ… Yesβœ… Yes
πŸ’™ Medical Savings AccountNoneNoneNone
🍼 Maternity Benefitsβœ… Yesβœ… Yesβœ… Yes
 

Discover 10 Easy Ways to Get Cheaper Medical Aid

Oneplan Health Executive Plan vs Other Providers or Medical Aid Schemes

Our Verdict on the Oneplan Health Executive Plan

One Plan Health Ececutive Plan Verdict     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.Β  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.    

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 R2,175.  

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 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 – R700,000 for accident cover, R212,500 for illness in hospital, R395,000 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.
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