Discovery Health - Classic Delta Comprehensive Medical Aid Plan

Discovery Health - Classic Delta Comprehensive

A comprehensive plan that offers extensive day-to-day benefits and hospitalization at the Delta Network of hospitals. This plan is suitable for those that would like comprehensive cover and don't mind being restricted to using network hospitals.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% (Discovery Health Rate)

Provider

Delta Network hospitals

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology : R400 000 (80% after)

Organ Transplants: Treatment Plan

Dialysis: Treatment Plan

Internal Prosthesis: Procedure based, limits apply

Mental Health: 21 Days

Chronic

PMB's + Additional

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS

Member: R16 560

Adult: R15 678

Child: R3 300

GP NETWORK ADVISABLE

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R23 420

Adult: R23 420

Child: R4 470

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Yes, as per limits.

Maternity Care

12 consultations, private ward up to R2 150 p/day, certain blood tests

Contributions

Contributions

Member: R5 681

Adult: R5 378

Per Child: R1 132

 

 

 

 

 

 

 

 


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Finding it difficult to make sense of all this? Not to worry, you can:

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