Discovery Health - Executive Medical Aid Plan

Discovery Health - Executive

The most extensive cover available for in-hospital, chronic medication and day-to-day medical costs.

The plan includes private ward cover, extensive cover for chronic medication, the highest savings account and an unlimited above-threshold benefit for day-to-day healthcare needs.

It also provides cover up to US$1 million for medical emergencies when travelling outside South Africa.

In Hospital Benefits

Overall Annual Limit

Unlimited at 300% (Discovery Health Rate)

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: R500 000 (80% after)

Organ Transplants: Treatment Plan

Dialysis: Treatment Plan

Internal Prosthesis: Procedure based, limits may apply

Chronic

PMB's + Additional

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS

Member: R30 900

Adult: R30 900

Child: R5 904

GP NETWORK ADVISABLE

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R35 230

Adult: R35 230

Child: R6 680

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Yes, as per limits

Maternity Care

12 consultations, private, 2D scans/2, ward up to R2 600 p/day, certain blood tests

Contributions

Contributions

Member: R10 303

Adult: R10 303

Per Child: R1 969

 

 

 

 

 

 

 

 


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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