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 at 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: No limit if you use Discovery Network. Non-network provider attracts a co-payment and limit

Chronic

PMB's + Additional

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS:
Member: R21 768
Adult: R21 768
Child: R4 152
GP Network Advisable

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: 26 300

Adult: R26 300

Child: R5 000

Self-Payment Gap Before Threshold

Member: 4 532

Adult: R4 532

Child: R848

Above Threshold Limits

Yes, as per limits

Maternity Care

12 consultations, private ward up to R2 220 p/day, certain blood tests

Contributions

Contributions

Member: R7 257
Adult: R7 257
Per Child: R1 385

 

 

 

 

 

 

 

 


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