Discovery Health - Classic Comprehensive
This is a comprehensive option suitable for those who require extensive day-to-day benefits, full cover for approved chronic medication and unlimited private hospital cover at any hospital.
The plan includes cover up to 200% of the scheme rate for in-hospital specialists, with 25% of contributions paid to a medical savings account.
In Hospital Benefits
| Overall Annual Limit |
Unlimited at 200% (Discovery Health Rate) |
|---|---|
| Provider |
Any hospital |
| GP's & Specialists |
GP's & Specialists: Unlimited Radiology & Pathology: Unlimited Oncology: R500 000 (80% after) Organ Transplants: Treatment Plan Dialysis: Treatment Plan Internal Prosthesis: Procedure-based, limits apply |
| Chronic |
PMB's + Additional |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
SAVINGS Member: R25 104 Adult: R23 748 Child: R5 004 GP NETWORK ADVISABLE |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Member: R28 810 Adult: R28 810 Child: R5 500 |
| Self-Payment Gap Before Threshold |
Yes |
| Above Threshold Limits |
Member: R35 000 Adult: R35 000 Child: R8 500 |
| Maternity Care |
12 consultations, private ward, up to R2 600 p/day, certain blood tests, 2X2D scans |
Contributions
| Contributions |
Member: R8 381 Adult: R 7 927 Per Child: R1 671
|
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