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) (R8 700 co-pay for use of non-network hospital)

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: No limit if you use Discovery Network. Non-network provider attracts a co-payment and limit

Chronic

50 conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS:
Member: R16 080
Adult: R15 228
Child: R3 204
GP Network Advisable

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: 21 700

Adult: R21 700

Child: R4 150

Self-Payment Gap Before Threshold

Member: R5 620

Adult: R6 472

Child: R946

Above Threshold Limits

Yes, as per limits.

Maternity Care

12 consultations, private ward up to R2 220 p/day, certain blood tests

Contributions

Contributions

Member: R5 362
Adult: R5 077
Per Child: R1 069

 

 

 

 

 

 

 

 


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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