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.
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