Discovery Health - Essential Priority Medical Aid Plan

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:
Member: R5 892
Adult: R4 632
Child: R2 352
GP Network Advisable

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
Adult: R2 577
Per Child: R1 310

 

 

 

 

 

 

 

 


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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