Discovery Health Medical Scheme - Rules for membership
2012
The 2012 Discovery Health Medical Scheme Rules will be available as soon as the Scheme receives the main body of the rules back from the Council for Medical Schemes.
2011
Main Body of rules(2.7 mb)
Annexure A: DHMS Rate Table(423 kb)
Annexure B: Benefit Plan Schedule(492 kb)
Annexure C: Exclusions and Limitations(91 kb)
Annexure D: Broker Compensation(18 kb)
Annexure 1: Healthcare Services covered from the MSA(27 kb)
Annexure 2: Covered Chronic Conditions(18 kb)
Annexure 3: Severe Dental and Oral Surgery(34 kb)
Annexure 4: KeyCare Exclusions(30 kb)
Annexure 5: List of procedures carrying a deductable on the Priority Plans(30 kb)
Annexure 6: EMI’s paid from MSA irrespective of whether cost incurred in-Hospital or Out-of-Hospital(18 kb)
Annexure 7: Cover for PMB’s(430 kb)
Annexure 8: Chemotherapy, Radiotherapy and Ontological Treatment(469 kb)
Annexure 9: KeyCare day-case procedures(13kb)
