Discovery Health - Classic Smart Comprehensive Medical Aid Plan

Discovery Health - Classic Smart Comprehensive

Comprehensive Discovery Health medical aid that’s designed to be more affordable than other comprehensive options. This plan features comprehensive hospital cover, an unlimited Above Threshold benefit and day-to-day benefits at Smart network providers. It doesn’t include a Medical Savings Account (MSA).

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Discovery Health Rate) (R9,650 co-pay for use of non-network hospital)

Provider

Smart Plan Hospital Network

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: R300 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

GP VISITS + NETWORK

R 60 co-payment & Medication (R2700 single, R4340 Family) prescribed by Smart GP: Sports injury cover: basic Xrays, 2 specialists visits, 4 physio visits: R115 co-pay, R860 OTC meds

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R26 820

Adult: R26 820

Child: R910

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: R4 585

Adult: R4 230

Per Child: R1 459

 

 

 

 

 

 

 

 


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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