Discovery Health - Classic Smart Plan Medical Aid Plan

Discovery Health - Classic Smart Plan

Discovery Health Smart Plan is a low-cost benefit option. It offers unlimited cover at network hospitals and full cover for medicines for chronic conditions on the Chronic Disease List (CDL). A very low co-payment of just R10 applies for medicines for acute conditions from designated service providers. Members have the option of video call consultations with network GPs, which are covered in full, or unlimited GP benefits at network providers with a R50 co-payment. The Smart Plan is an intelligent choice for entry-level consumers.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% (Discovery Health Rate)

Provider

Network hospitals

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: R200 000 (80% after)
Organ Transplants: Treatment Plan
Dialysis: Treatment Plan
Internal Prosthesis: Procedure based

Chronic

27 PMB's

Out of Hospital Benefits

Saving / Day to Day / OHEB

GP visits + Network: R50 co-payment
Medication from GP: R10 co-pay per item
Sports injury cover: basic X-rays, 2 specialists visits, 4 physio visits: R100 co-pay, R630 OTC meds

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

8 Consultations, 2 scans, certain blood tests and post natal visits

Contributions

Contributions

Member: R1 794
Adult: R1 415
Per Child: R717

 

 

 

 

 

 

 

 


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