A value-for-money hospital plan that also provides essential chronic cover
Here's what you get:
- Unlimited private hospital cover
- Guaranteed full cover in hospital for specialists who we have a payment arrangement with, and up to 200% of the Discovery Health Rate (DHR) on Classic plans and up to 100% of the DHR on Essential and Coastal plans for other healthcare professionals
- Full cover for chronic medicine on our formulary for all Chronic Disease List conditions when you use a network pharmacy
- Comprehensive pre- and postnatal healthcare services for maternity and early childhood.
- Cover for medical emergencies when travelling
Our five plans in the Core Series
| Classic | Classic Delta | Essential | Essential Delta | Coastal | |
|---|---|---|---|---|---|
| Hospital cover | |||||
| Unlimited private hospital cover at any hospital | Private hospitals in the four coastal provinces | ||||
| Unlimited private hospital cover at a network hospital | |||||
| Full cover with a specialist we have a payment arrangement with | |||||
| Specialists we don't have a payment arrangement with are covered at a percentage of the Discovery Health Rate | 200% | 200% | 100% | 100% | 100% |
| Other healthcare professionals are covered at a percentage of the Discovery Health Rate | 200% | 200% | 100% | 100% | 100% |
| Chronic illness cover | |||||
| Chronic condition: Cover for 27 Chronic Disease List conditions (once approved) according to the Prescribed Minimum Benefits | |||||
| Chronic medicine: Full cover for approved medicine on our medicine list at a designated service provider pharmacy | |||||
| Cancer cover | |||||
| We cover a set amount in full over a 12-month period. Costs above this amount attract a 20% co-payment. Prescribed Minimum Benefit conditions are covered in full | R 250 000 | R 250 000 | R 250 000 | R 250 000 | R 250 000 |
| Day-to-day cover | |||||
| These plans do not offer day-to-day benefits |
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This is only a summary of the key benefits. Please consult the health plan guide for more details. Discovery Health Medical Scheme Rules apply.
