The Priority Series

Cost-effective in-hospital cover, chronic cover and day-to-day benefits

 

Here’s what you get:

Unlimited private hospital cover

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

Up to 200% of the Discovery Health Rate on the Classic Plan and 100% on the Essential Plan for other healthcare professionals we don’t have an arrangement with

Full cover for approved chronic medicine for all conditions on our Chronic Disease List

A Medical Savings Account (MSA) and limited 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
  • Some external medical items like wheelchairs,
    walkers, portable oxygen machines and insulin pumps.
  • Kids’ casualty visits

The Classic Plan also covers:

  • Antenatal consultations
  • Video call consultations with paediatricians
  • Kids’ casualty visits
  • Blood tests

Cover for medical emergencies when you travel outside South Africa

Our two plans in the Priority Series

  Classic Essential
Hospital cover
Unlimited private hospital cover at any hospital
Upfront payment to hospitals (for a defined list of planned procedures)
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% 100%
Other healthcare professionals are covered at a percentage of the Discovery Health Rate 200% 100%
Chronic illness cover
Chronic condition: Cover for 27 Chronic Disease List conditions (once approved) according to the Prescribed Minimum benefits
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 R200 000 R200 000
Day-to-day cover
Medical Savings Account: Percentage of your contribution that goes into an MSA 25% 15%
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 (where applicable)
Limited Above Threshold Benefit: Once your claims add up to your Annual Threshold (where applicable)

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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