Discovery Health - Essential Smart Plan Medical Aid Plan

Discovery Health - Essential Smart Plan

The Discovery Essential Smart plan is ideal for healthy individuals who don't require extensive out-of-hospital or chronic cover. The plan offers unlimited hospital cover at 100% of the Discovery rate, as well as access to a number of in-hospital treatment options.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Discovery Health Rate)

Provider

Network hospitals

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: R200 000 (80% after)
Organ Transplants: Treatment Plan
Dialysis: Treatment Plan
Internal Prosthesis: Procedure based

Chronic

27 PMB's

Out of Hospital Benefits

Saving / Day to Day / OHEB

GP visits + Network R 100 co-payment
1 eye test with co-pay of R100
Dental check up: 1 with co-pay of R150
R420 OTC all at Network

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

8 Consultations, 2 scans, certain blood tests and post natal visits

Contributions

Contributions

Member: R1 285
Adult: R1 285
Per Child: R1 285

 

 

 

 

 

 

 

 


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