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: 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

 

 

 

 

 

 

 

 


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

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

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