Discovery Health - Classic Smart Comprehensive
Comprehensive Discovery Health medical aid that’s designed to be more affordable than other comprehensive options.
This plan features full cover for private hospitalisation subject to use of hospitals in the Delta network, cover up to 200% of the scheme rate for in-hospital specialists and full cover for chronic medication at any pharmacy.
Cancer cover is limited to R375,000 per year. The plan doesn’t include a medical savings account.
In Hospital Benefits
| Overall Annual Limit |
Unlimited at 200% (Discovery Health Rate) (R11 650 co-pay for use of non-network hospital) |
|---|---|
| Provider |
Smart Plan Hospital Network |
| GP's & Specialists |
GP's & Specialists: Unlimited Radiology & Pathology: Unlimited Oncology: R375 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 |
Unlimited GP VISITS + NETWORK R 65 co-payment Savings Member: R12 888 Adult: R11 892 Child: R3 000 |
|---|---|
| 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: R30 000 Adult: R30 000 Child: R7 500 |
| Maternity Care |
12 consultations, private ward up to R2 600 p/day, certain blood tests, 2X2D scans |
Contributions
| Contributions |
Member: R7 163 Adult: R6 611 Per Child: R1 671
|
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