The Scheme exists to care for our members' health and wellness by engaging the brightest minds and innovative solutions to provide access to affordable, equitable and quality, value-based healthcare that meets their needs now and sustainably into the future.
The Scheme at a glance
Discovery Health Medical Scheme is a registered open medical scheme which any member of the public can join, subject to the Scheme's rules.
DHMS is the largest open medical scheme in South Africa, covering nearly 2.8 million beneficiaries at 31 December 2017, and with an open medical scheme market share of approximately 56%.
DHMS is a non-profit entity governed by the Medical Schemes Act 131 of 1998, as amended, and regulated by the Council for Medical Schemes.
The Scheme belongs to its members and an independent Board of Trustees oversees its business. The Scheme operates through a formal contractual arrangement with Discovery Health Pty (Ltd), which provides the Scheme's administration and managed care services.
Why Join DHMS?
Quality of care is one of our key membership value propositions
One of the Scheme's major longer-term strategies is to drive value-based healthcare, which is a delivery model in which providers are reimbursed based on health outcomes, and to promote member access to programmes and providers that are committed to continuous improvement in quality healthcare. Through Discovery Health, the Scheme is deeply engaged in many quality of care initiatives and ongoing monitoring to ensure that our members have access to the safest, most efficient healthcare available in South Africa. The Scheme also empowers our members with information that is relevant to their needs.
To access the registered scheme rules approved by the Council for Medical Schemes, please log in. If you are not yet registered, please register.
We make sure that your investment in membership takes care of you
The Scheme's income is derived from member contributions and investment returns. The Scheme pools all members' contributions to fund members' claims, and any surplus funds are transferred to Scheme reserves for the benefit of members. In pricing member contributions for each year, the Scheme's objective is to ensure sufficient contribution income to pay all claims, and to return a modest surplus to meet regulatory requirements as well as to maintain a cushion against unexpected cost increases. This is in accordance with the fundamental operating principles of a non-profit organisation.
The Scheme's income is used to fund activities to support and benefit its members, as well as ensure the sustainability of DHMS through activities such as innovation, administration, managed care, financial advisers and the daily operations of the Scheme. Apart from the reserves and these activities, the Scheme's entire income is used to fund claims.