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Day1 Health (Pty) Ltd – Practical Medical Insurance
Day 1 Health was established in 2003 to address the needs of those who cannot afford conventional medical aid cover. Their rights to access affordable Healthcare are protected in the country’s bill of rights and constitution.

Similar to a Medical Scheme, but without any form of obfuscation, Day 1 Health’s insurance cover is very simple and clear – cut, catering for all ages, individuals and the employer groups, who are Day 1 ‘s prime focus.

Community rating is also applied to all persons who enroll, with the only exception being that ‘permanent endorsements’ (restrictions) are sometimes applied to individuals i.e. (non group members) who join with known pre -existing conditions.

The main advantage that insurance cover has over Medical Aids is that they are not encumbered with having to cover ‘ prescribed minimum benefits’, otherwise known as PMB’s, the 270 life threatening conditions that have to be covered at any cost to the scheme, contributing to the high costs of Medical Aids.

In January 2010, Day 1 obtained exemption from the Council of Medical Schemes to operate its own General Practitioner Network to offer Primary Health Care Services to its membership base throughout the country. 1 Doctor Health (Pty) Ltd (1Doctor) has a network of approximately 1000 Medical and 500 Dental Practices countrywide.

1 Doctor’s Primary Health Care Prepaid Preventative (Doctor) service consists of: Unlimited, but managed, GP consultations, Basic Dentistry, Acute and Chronic Medication, Basic Radiology, Basic Pathology and Basic Optometry benefits.

The Prepaid Preventative (Doctor) Service can be purchased on its own or may be coupled with an insured Stated Benefit Hospital Plan, that includes a combination of: Hospital Stated benefits for Illness, Accidental Injury, Dread Disease for Cancer, Heart attacks and Strokes, Accident Permanent Disability as well as Funeral Benefits.

The adoption of an innovative approach managing risk has seen Day1 Health establish itself as a company with a good Health Insurance product, offering exceptional value for money with 1000s of members. Day1 Health is a combination of a Stated Benefit Hospital Plan, which is underwritten by African Unity Life Limited, and the day-to-day Primary Healthcare services, as supplied by 1Doctor (Pty) Ltd.

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