Discovery Health - Classic Delta Comprehensive Medical Aid Plan

Discovery Health - Classic Delta Comprehensive

A comprehensive plan that offers extensive day-to-day benefits, full cover for private hospitalisation subject to use of hospitals in the Delta network and full cover for chronic medication, subject to use of a designated pharmacy.

The plan includes cover up to 200% of the scheme rate for in-hospital specialists. 25% of contributions are paid to a medical savings account.

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: R500 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: R19 764

Adult: R18 708

Child: R3 930

GP NETWORK ADVISABLE

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R25 740

Adult: R25 740

Child: R4 910

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Yes, as per limits.

Maternity Care

12 consultations, private ward up to R2 460 p/day, certain blood tests, X2D scans

Contributions

Contributions

Member: R6742

Adult: R6382

Per Child: R1342

 

 

 

 

 

 

 

 


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

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

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