One Medical Plan
Please follow the instructions below if you have a One Medical Plan. Sanlam’s One Medical Plan is not a medical aid but offers certain benefits should a client be hospitalised. For Sanlam Indie claims, please visit the Sanlam Indie claims section for more information.
Start your claim
You can claim for One Medical Plan benefits after being discharged from hospital, or if you have been in the hospital for three days or more. Only the benefits described by the terms in your contract will be covered.
- What benefits are in this category?
One Medical Plan
- Which supporting documents do I need?
This form must be signed by the principal assured or his/her proxy
The Claim form must include the doctor’s particulars, addresses, telephone numbers and fax number
The operation report must be completed by a surgeon in full
If you claim for emergency transport, an emergency transport account must be provided
Should more than one member of a family claim at the same time, a separate Claim form in respect of each must be submitted
Copies of the hospital’s, surgeon’s and anaesthetist’s accounts related to the claim must be attached
Your claim must be submitted within three months of discharge from the hospital
Download your claim forms
Please download and complete all the forms below in order to submit your claim.
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| One Medical Plan Claim form (AE2310) (ENG) | ||
| One Medical Plan Claim form (AE2310) (AFR) |
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Submit & track your claim
Once you’ve completed the claim form and collected all the required documents, you can submit it to us in any of the following ways:
Upload your form
Upload your completed claim form and supporting documents
Send us your form
Alternatively, submit your claim by forwarding us your completed form and supporting documents by: Email: onemedicalplan@sanlam.co.za Dropping it off at your nearest Client Care Centre Working through your financial adviser
Next, we will assess your claim, request any additional information if required, and let you know of the outcome within 10 working days. If you are unhappy with the outcome of your claim, you are welcome to appeal to us to reconsider, or you may refer your complaint to the Sanlam Arbitrator.
Submit other claims
- Other claims
Death cover
You can claim for the death of a loved one who had life cover or a savings policy with Sanlam.
Funeral cover
If you’ve taken out a standalone Funeral cover policy with Sanlam or Sanlam Indie.
Funeral benefit
Submit a claim if you have Life Cover policy with a Funeral benefit.
Disability/accident cover
Cover for the inability to do your occupation due to an illness or injury.
Severe illness cover
Severe Illness/Dread Disease/Child Illness and Injury benefits cover a variety of illnesses, impairments and injuries.
Sickness benefit cover
Sickness benefits cover you for being booked off on sick leave by a medical doctor.
Income protection cover
Disability and/or accident benefits could provide cover for the inability to do your occupation due to an illness or injury.
Submit your claim here
ZA