Discovery Health - Essential Delta Comprehensive Network Medical Aid Plan

Discovery Health - Essential Delta Comprehensive Network

This plan offers in-hospital cover at a network of hospitals, along with international travel benefits for emergencies and an Africa evacuation benefit for certain countries. A suitable option for those that require decent benefits in and out of hospital with good chronic cover.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Discovery Health Rate) (R8 700 co-pay for use of non-network hospital)

Provider

Delta network hospitals

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: R8 112
Adult: R7 656
Child: R1 620
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: R13 588

Adult: R14 044

Child: R2 530

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: R4 507
Adult: R4 257
Per Child: R904

 

 

 

 

 

 

 

 


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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