The WHO Global Outbreak Benefit
Overview
This benefit is available to all members of Discovery Health Medical Scheme during a period declared as an outbreak. This benefit ensures you have access to vaccination screening consultations, testing, and management and appropriate supportive treatment as long as you meet the Scheme's Benefit entry criteria. You get cover for a defined basket of care for out-of-hospital healthcare services related to the outbreak disease.
When are you covered?
This benefit, available on all plans, is covered by the Scheme for cases of outbreak diseases and out-of-hospital healthcare services related to COVID-19 and Mpox and does not affect your day-to-day benefits, where applicable.
What are you covered for?
The basket of care for COVID-19 includes:
- Administration of the COVID-19 vaccine
- Consultations with a network GP (either virtual consultations, telephone or face-to-face)
- COVID-19 PCR screening and Rapid Antigen tests if referred by a network GP who has screened you. You also have access to rapid antigen testing in hotspot areas where available
- A defined basket of pathology for COVID-19 positive members
- A defined basket of x-rays and scans for COVID-19 positive members
- Supportive treatment, including medicine and a home monitoring device to track oxygen saturation levels for at risk members who meet the clinical entry criteria
The basket of care for Mpox includes:
- A diagnostic PCR screening test
- Two consultations with a dermatologist or GP
- Supportive medicine formulary for pain management
Hospital cover information
Your hospital admission is subject to approval and preauthorisation. Sub-limits and clinical guidelines apply to certain healthcare services in hospital. In-hospital treatment related to COVID-19 for approved admissions is covered from the Hospital Benefit based on your chosen health plan and in accordance with Prescribed Minimum Benefits (PMB) where applicable.