The Executive Plan

The most extensive in-hospital medical aid cover with comprehensive chronic and day-to-day benefits

Choosing the right medical aid plan is important. We're here to help you.

Here's what you get:

Unlimited cover in any private hospital, including private ward cover

Guaranteed full cover in hospital for specialists who we have a payment arrangement with, and up to 300% of the Discovery Health Rate (DHR) for other specialists

Full cover for chronic medicine on our formulary for all Chronic Disease List (CDL) conditions plus some additional chronic conditions, as well as access to an exclusive list of brand medicines

Cover for up to two cycles of assisted reproductive therapy (ART) if you meet the scheme's benefit and clinical entry criteria. We will fund 75% of the treatment up to an overall limit of R115 000 per year.

Cover for comprehensive pre- and postnatal healthcare services for maternity and early childhood

Additional cover through the Day-to-day Extender Benefit (DEB) for GP consultation fees and kids casualty visits when your Medical Savings Account (MSA) runs out

The highest savings account and an unlimited Above Threshold Benefit (ATB) for your day-to-day healthcare needs

The Global Treatment Platform gives you access to specialised, advanced medical care in South Africa and abroad. Access to full cover for second opinion services. Cover of up to US$1 million for medical emergencies when travelling outside of South Africa

Our Executive Plan

Hospital cover
Unlimited private hospital cover at any 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 300%
Other healthcare professionals are covered at a percentage of the Discovery Health Rate 200%
Chronic illness cover
Chronic condition: Cover for 27 Chronic Disease List conditions (once approved) according to the Prescribed Minimum benefits
Chronic condition: Cover for additional conditions (once approved) on our Additional Disease List
Chronic medicine: Full cover for approved medicine on our medicine list
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
R400 000
Extended Oncology Benefit
You have extended cover in full for a defined list of cancers and treatments.
Day-to-day cover
Medical Savings Account: Percentage of your contribution that goes into an MSA 25%
Day-to-day Extender Benefit pays for certain day-to-day benefits after the money in your MSA has run out and before you reach your Annual Threshold
Unlimited Above Threshold Benefit: Once your claims add up to your Annual Threshold

This is only a summary of the key benefits. Please consult the health plan guide for more details. Discovery Health Medical Scheme Rules apply.

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