The Executive Plan

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

 

Here’s what you get:

Unlimited cover in any private hospital, including private ward cover

Guaranteed full cover in hospital for specialists we have a payment arrangement with

Up to 300% of the Discovery Health Rate for other specialists and healthcare professionals we don’t have an arrangement with

Full cover for approved chronic medicine for all chronic conditions on our Chronic Disease List, plus additional chronic conditions like cystic fibrosis, major depression, muscular dystrophy and osteoporosis – and access to an exclusive list of brand medicines

Highest Medical Savings Account (MSA) and an unlimited Above Threshold Benefit for your day-to-day healthcare needs

 
 
 
 
 

Additional cover when your Medical Savings Account runs out for:

  • Face-to-face and video call GP consultation fees
  • Video call consultations with paediatricians
  • Kids’ casualty visits
  • Antenatal consultations
  • Preferred day-to-day medicine (schedule 3 and above)
  • Blood tests
  • Some external medical items like wheelchairs, walkers,
    portable oxygen machines and insulin pumps

Cover for medical emergencies when you travel outside 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 100%
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
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.

The Discovery Health Medical Scheme is an independent non-profit entity governed by the Medical Schemes Act, and regulated by the Council for Medical Schemes. It is administered by a separate company, Discovery Health (Pty) Ltd, an authorised financial services provider.

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