Discovery Health - Essential Priority
Essential Priority offers hospital cover at 100% of the Discovery health rate at any South African hospital. This plan includes out of hospital benefits via a savings account. A good option if you don't require day to day cover for unforeseen events.
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: R200 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 |
27 PMB's |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
SAVINGS: |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Member: R17 550 Adult: R13 200 Child: R5 850 |
| Self-Payment Gap Before Threshold |
Member: R11 658 Adult: R4 176 Child: R3 498 |
| Above Threshold Limits |
Member: R14 850 Adult: R10 600 Child: R5 200 |
| Maternity Care |
8 Consultations, 2 scans, certain blood tests and post natal visits |
Contributions
| Contributions |
Member: R3 278
|
|---|