WHO Global Outbreak Benefit

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Start your COVID-19 risk assessment

You can understand your risk status at any point in time by completing the COVID-19 risk assessment. The assessment is a set of questions which determines if you may be presenting with symptoms suggestive of COVID-19 disease or may have been exposed to COVID-19 infection and need a consultation with a doctor. Once you have successfully completed the risk assessment it unlocks additional funding for screening consultations and tests.

Start risk assessment

Online Doctor Consultations

Online doctor consultations provide a safe alternative to face-to-face consultations for patients and doctors, and contribute to the important containment measures that will reduce the impact of the outbreak. The COVID-19 risk assessment about your symptoms will determine if you need an online consultation with a doctor, and we will connect you to your doctor or a COVID-19 Care Team of doctors.

To understand more on our Online Doctor Consultations and how they work watch this video.

The WHO Global Outbreak Benefit

Overview

This benefit is available to all members of Discovery Health Medical Scheme during a period declared as an outbreak. This benefit ensures you have access to screening consultations, testing, and management and appropriate supportive treatment as long as you meet the Scheme’s Benefit entry criteria. You get cover for a defined basket of care for out-of-hospital healthcare services related to the outbreak disease.

When are you covered?

This benefit, available on all plans, is covered by the Scheme for cases of outbreak diseases and out-of-hospital healthcare services related to COVID-19 and does not affect your day-to-day benefits, where applicable.

What are you covered for?

The basket of care includes:

  • Following completion of the Discovery risk assessment, screening consultations with network GP (either virtual consultations, telephone or face-to-face)
  • COVID-19 PCR screening tests if referred by a network GP following completion of the Discovery risk assessment
  • A defined basket of pathology for COVID-19 positive members
  • A defined basket of x-rays and scans for COVID-19 positive members
  • Supportive treatment, including medicine and a home monitoring device to track oxygen saturation levels for at risk members who meet the clinical entry criteria
  • Accommodation in accredited isolation facilities
Hospital cover information

Your hospital admission is subject to approval and preauthorisation. Sub-limits and clinical guidelines apply to certain healthcare services in hospital. In-hospital treatment related to COVID-19 for approved admissions is covered from the Hospital Benefit based on your chosen health plan and in accordance with Prescribed Minimum Benefits (PMB) where applicable.

What is covered

Risk assessment

You and your family can understand your risk status at any point in time by completing the COVID-19 risk assessment or by calling us and following the prompts to complete the COVID-19 risk assessment. The assessment is a set of questions which determines if you may be presenting with symptoms suggestive of COVID-19 disease or may have been exposed to COVID-19 infection and need a consultation with a doctor.

Screening

This benefit covers COVID-19 screening consultations, if a consultation is necessary, once you have completed the COVID-19 risk assessment. You can choose to either access a virtual or face-to-face screening consultation at a network provider. Virtual consultations provide a safe alternative to face-to-face consultations for patients and doctors, and contributes to the important containment measures that will reduce the impact of the outbreak.

Testing

You have access to two COVID-19 PCR tests per year, regardless of the outcome of the test.  Screening tests are funded in full, when referred by the doctor that screened you.  This includes pre-admission PCR testing for approved hospital admissions, when referred by the doctor that screened you.  Registered healthcare professionals that are members of DHMS, have access to four PCR tests a year.

Home monitoring for at-risk qualifying members

If you meet the qualifying clinical entry criteria for at risk members, Discovery will reach out to you and issue you with a pulse oximeter device (one device per family), through our network provider, to track and monitor your oxygen saturation levels.  You will also be covered for two consultations with a Discovery wellness specialist, to track and monitor oxygen-saturation levels and a follow-up virtual consultation with a GP, where necessary.

Accommodation in accredited isolation facilities

If you have been diagnosed with or are awaiting test results for COVID-19 and are considered at risk, Discovery Health has partnered with reputable hotels and facilities to offer accommodation at isolation facilities where you can self-isolate. You can check into these hotels and facilities at a discounted rate and have access to medical support, should you need it, during your stay.

COVID-19: Everything you need to know

Find all our latest updates on the COVID-19 virus. Information includes podcasts, videos, articles and live updates on the situation.

Learn more

This page is a summary of the key benefits and features of the Discovery Health Medical Scheme WHO Global Outbreak Benefit, awaiting formal approval from the Council for Medical Schemes.

 
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