Discovery Health - Essential Smart Plan
Cost-effective medical aid, combining full cover for private hospitalisation at a network hospital (with cover for in-hospital specialists at up to 100% of the Discovery rate); cover for chronic medication for conditions on the Chronic Disease List (CDL) subject to use of a MedXpress pharmacy; and a range of day-to-day benefits.
The plan features day-to-day cover for unlimited network GP visits, with a co-payment of R120 per visit. It also includes cover for one optometrist visit with a co-payment of R120 and one dental visit with a co-payment of R180, and some cover for over-the-counter medicine from a network pharmacy.
This is a good choice for entry-level consumers hoping for both hospital cover (subject to network limitations) and a way to manage day-to-day medical expenses.
In Hospital Benefits
| Overall Annual Limit |
Unlimited at 100% (Discovery Health Rate) |
|---|---|
| Provider |
Network hospitals |
| GP's & Specialists |
GP's & Specialists: Unlimited |
| Chronic |
27 PMB's |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
GP VISITS+ NETWORK R 120 co-payment, 1 eye test with co-pay of R120, dental check up:1 with co-pay of R180, R560 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: R 1 881 Adult: R1 881 Per Child: R1 881
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