Value Plus Plan – Hospital
The Value Plus Hospital Plan from Day1 Health is designed to provide affordable private hospital coverage for individuals seeking essential in-hospital benefits without the higher costs associated with full medical aid schemes. Key features include:
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Accident/Trauma Benefit: Coverage up to R150,000 per event for accidents or trauma incidents, with a 1-month waiting period.
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Family Funeral Benefit: Provides R20,000 for the principal member to assist with funeral expenses.
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24-Hour Emergency Services: Access to round-the-clock emergency services, ensuring prompt medical attention when needed.
This plan is ideal for individuals seeking essential in-hospital benefits without the higher costs associated with full medical aid schemes.
In-hospital Illness Benefit
Covers up to R 10,000 after the first 24 hours in hospital, up to R 10,000 for the second day in hospital, up to R 10,000 for the third day in hospital. Thereafter R 1,500 per day up to a maximum of 21 days. A 3 month waiting period applies and a 12 month pre-existing conditions exclusion applies. (Excludes Maternity Benefits)
In-Hospital Illness Benefits Breakdown
- 1st Day in Hospital: Up to R 10 000.00 (min 24 hours stay)
- 2nd Day in Hospital: Up to R 10 000.00 in R 2 500.00 units (per 6 hours)
- 3rd Day in Hospital: Up to R 10 000.00 in R 2 500.00 units (per 6 hours)
- Each day thereafter: R 1 500.00 per day
- Maximum over 21 days: R 57 000.00
Accident/Trauma Benefit
Up to R 150,000 per event. A 1 month waiting period applies. (Exclusion: Sports Injuries)
Family Funeral Benefit
- Principal member – R20,000
- Spouse & Child > 14 years – R 10,000
- Child > 6 years – R 5,000
- Child > 0 years – R 2,500
- Child > 28 weeks – R 1,250
A 3-month waiting period applies. (Benefit only available to plan members.)
24 Hour Emergency Services
Ambulance & Pre-Authorisation: 0861 144 144
24 Hour Emergency Services, Medical Assistance and Pre-Authorisation provided by Africa Assist. Immediate Cover. Guaranteed private hospital admission with preference to all Life Healthcare and Mediclinic hospitals.
Legal Notice
Practical Medical Insurance – Providing cover since 2003. Day1 Health (Pty) Ltd is an authorised Financial Services Provider – FSP Number 11319. Approved by the Council for Medical Schemes – CMS Ref: 1074. Powered by Day1 Health – Underwritten by African Unity Life Ltd, a licensed Life Insurer and FSP 8447. Day1 Health offers Medical Insurance plans and is not a Medical Aid product.
Day1 Health complies with open enrollment, community rating and cross-subsidisation. No discrimination based on race, age, gender, marital status, origin, sexual orientation, pregnancy, disability, health status, or location.
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