Discovery Health - Essential Priority
The Essential Priority plan offers cost-effective, full private hospital cover and cover for in-hospital specialists up to 100% of the scheme rate.
It also provides essential chronic medicine cover and day-to-day benefits, with 15% of contributions paid to a medical savings account and a limited above-threshold benefit.
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: R250 000 (80% after) Organ Transplants: Treatment Plan Dialysis: Treatment Plan Internal Prosthesis: Procedure based |
| Chronic |
27 PMB's at dsp's |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
SAVINGS Member: R8 136 Adult: R6 396 Child: R3 252 GP NETWORK ADVISABLE |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Member: R22 890 Adult: R17 210 Child: R7 620 |
| Self-Payment Gap Before Threshold |
Yes |
| Above Threshold Limits |
Member: R19 370 Adult: R19 370 Child: R6 770 |
| Maternity Care |
8 Consultations, 2x 2D scans, certain blood tests and post natal visits |
Contributions
| Contributions |
Member: R4 531 Adult: R3 562 Per Child: R1 809
|
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