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 |
|---|---|
| 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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