Affordable medical cover from R985 per month. When you’re looking for health insurance, it’s a good idea to take a look at all the angles. You want health cover that complements your lifestyle and helps you get the best care possible compatible with your financial needs. That’s where Kingdom Blue & Day1 Health comes in.

DAY TO DAY BENEFITS

UNLIMITED MANAGED DOCTOR VISITS
Via a registered Day1 Health Network Provider. A co-payment of R75.00 will apply for all additional visits after the 5th visit per member per annum. A 1 month waiting period applies.

SPECIALIST BENEFIT
Specialist Benefit of up to R 1 000 per family per annum. Subject to pre-authorisation and referral from a Day1 Health Network GP. A 3 month waiting period applies.

ACUTE & CHRONIC MEDICATION
Both acute and chronic medication are covered according to the Day1 Health formulary. A 3 month waiting period applies on chronic medication for unknown conditions and a 12 month waiting period on pre-existing conditions.(All chronic medication is subject to preauthorisation. An additional administration

RADIOLOGY
Basic radiology according to the Day1 Health formulary via a Day1 Health network GP. Black and white diagnostic x-rays only. A 1 month waiting period applies.

PATHOLOGY
Basic diagnostic blood tests on referral by a Day1 Health Network GP and subject to a list of basic pathology tests approved by Day1 Health. A 1 month waiting period applies.

BASIC DENTISTRY
Basic treatment includes preventative cleaning, fillings, extractions and emergency pain and sepsis control via a Day1 Health Network Dentist. 2 visits per annum per member A 3 month waiting period applies.

OPTOMETRY (ISO LESO OPTICS)
One eye test and one set of glasses every 24 months per the specific Iso Leso Optics agreed protocol range. A 12 month waiting period applies.

OUT-OF-AREA VISITS
In the event that you cannot see your Network GP, the Plan will allow 3 “out of area” visits per family per annum to an alternative Network GP or GP of your choice, subject to pre-authorisation. A 1 month waiting period applies.

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.

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 R10,000 for the third day in hospital. Thereafter R 2 000.00 per day up to a maximum of 21 days. A 3 month waiting period applies and a12 month pre-existing conditions exclusion applies.

ILLNESS TOP-UP
Up to R 25,000 per insured person per year subject to an overall limit of 2 events per family policy per annum. A 3 month waiting period applies

ACCIDENT/TRAUMA BENEFIT
Up to R 250,000 per single member per incident and up to R 500,000 per family per incident. Immediate cover.

CRITICAL ILLNESS BENEFIT
1 Incident per family per annum Critical Illness up to R 250,000, however the benefit is limited to R 50,000 unless the insured person accedes to a short medical examination (at their own cost) to be arranged by Day1 Health. The underwriter’s decision is final. A 3 month waiting period applies.

ACCIDENTAL PERMANENT DISABILITY BENEFIT
R250 000 for the Principal Member only. Single event only. Immediate cover.

MATERNITY BENEFIT
Covers up to R20 000 for the birth of a child in hospital. A 12 month waiting period applies. Benefit only available to plan members (16 years and older).

Guaranteed private hospital admission with preference to all Life Healthcare, Mediclinic, Africa Health Care and Clinix hospitals.

View OR Download Executive Plan 2025

 

SINGLE MEMBER	PREMIUM	COUPLE	PREMIUM
MEMBER ONLY	R 985	COUPLE	R 1 724
MEMBER + 1 CHILD	R 1 379	COUPLE + 1 CHILD	R 2 118
MEMBER + 2 CHILDREN	R 1 773	COUPLE + 2 CHILDREN	R 2 512
MEMBER + 3 CHILDREN	R 2 167	COUPLE + 3 CHILDREN	R 2 906
MEMBER + 4 CHILDREN	R 2 561	COUPLE + 4 CHILDREN	R 3 300