Discovery Health - Executive Medical Aid Plan

Discovery Health - Executive

Offers extensive cover for both in-hospital and day-to-day costs including private ward cover, emergency response services and access to specialized treatment. This is an excellent option for those that require top of the range comprehensive cover.

In Hospital Benefits

Overall Annual Limit

Unlimited: 200% to 300% (Discovery Health Rate)

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: R400 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: R1 9620
Adult: R19 620
Child: R3 744
GP Network Advisable

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: 22 800
Adult: R22 800
Child: R4 300

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Yes, as per limits

Maternity Care

12 consultations, private ward up to R1970 p/day, certain blood tests

Contributions

Contributions

Member: R6 541
Adult: R6 541
Per Child: R1 248

 

 

 

 

 

 

 

 


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