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: No limit if you use Discovery Network. Non-network provider attracts a co-payment and limit

Chronic

50 conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS
Member: R9 000
Adult: R8 508
Child: R1 812
GP Network Advisable

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: 21 700

Adult: R21 700

Child: R4 150

Self-Payment Gap Before Threshold

Member: R12 700

Adult: R13 192

Child: R2 338

Above Threshold Limits

Yes, as per limits.

Maternity Care

12 consultations, private ward up to R2 220 p/day, certain blood tests

Contributions

Contributions

Member: R5 003

Adult: R4 731

Per Child: R1 008

 

 

 

 

 

 

 

 


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Finding it difficult to make sense of all this? Not to worry, you can:

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