Discovery Health - Essential Comprehensive Medical Aid Plan

Discovery Health - Essential Comprehensive

This plan pays 100% of the Discovery rate at any local hospital as well as comprehensive day-to-day benefits. Suitable for those that require limited comprehensive cover with good chronic benefits.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Discovery Health Rate)

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology : R400 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

SAVINGS
Member: R8 112
Adult: R7 668
Child: R1 632
GP Network Advisable

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R18 800
Adult: R18 800
Child: R3 600

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Yes, as per limits.

Maternity Care

12 consultations, private ward up to R1 970 p/day, certain blood tests.

Contributions

Contributions

Member: R4 509
Adult: R4 265
Per Child: R908

 

 

 

 

 

 

 

 


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