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

R55 co-payment & Medication (R2500 single, R4000 Family) prescribed by Smart GP: Sports injury cover: basic Xrays, 2 specialists visits, 4 physio visits: R110 co-pay, R800 OTC meds

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R23 900

Adult: R23 900

Child: R800

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Yes, as per limits

Maternity Care

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

Contributions

Contributions

Member: R4 327

Adult: R3 994

Per Child: R1 378

 

 

 

 

 

 

 

 


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