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

SAVING

Member: R8 352

Adult: R7 884

Child: R1 668

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: R4 775

Adult: R4 510

Per Child: R957

 

 

 

 

 

 

 

 


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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