Discovery Health - Essential Comprehensive
Comprehensive medical aid with full cover for private hospitalisation, cover up to 100% of the Discovery rate for in-hospital specialists and full cover for approved chronic medication at any pharmacy.
15% of contributions go to a medical savings account, for covering day-to-day medical expenses.
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: R500 000 (80% after) Organ Transplants: Treatment Plan Dialysis: Treatment Plan Internal Prosthesis: Procedure based, limits apply |
| Chronic |
PMB's + Additional |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
SAVINGS Member: R11 061 Adult: R10 440 Child: R2 229 GP NETWORK ADVISABLE |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Member: R25 740 Adult: R25 740 Child: R4 910 |
| Self-Payment Gap Before Threshold |
Yes |
| Above Threshold Limits |
Yes, as per limits. |
| Maternity Care |
12 consultations, private ward up to R2 460 p/day, certain blood tests, X2D scans |
Contributions
| Contributions |
Member: R6292 Adult: R5942 Per Child: R1269
|
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