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: R9 270 Adult: R8 760 Child: R1 866 GP NETWORK ADVISABLE |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Member: R23 420 Adult: R23 420 Child: R4 470 |
| Self-Payment Gap Before Threshold |
Yes |
| Above Threshold Limits |
Yes, as per limits. |
| Maternity Care |
12 consultations, private ward up to R2 150 p/day, certain blood tests |
Contributions
| Contributions |
Member: R5 301 Adult: R5 010 Per Child: R1 069
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