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)

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: Procedure based, limits apply
Mental Health: 21 days

Chronic

PMB's + Additional

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS:
Member: R7 308
Adult: R6 900
Child: R1 464
GP Network Advisable

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R18 800
Adult: R18 800
Child: R3 600

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Yes, as per limits.

Maternity Care

12 consultations, private ward up to R1 970 p/day, certain blood tests

Contributions

Contributions

Member: R4 062
Adult: R3 837
Per Child: R815

 

 

 

 

 

 

 

 


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