The Core Series

A value-for-money hospital plan that also provides essential chronic cover

 

Here's what you get:

  • Unlimited private hospital cover in any facility approved by Scheme.
  • Guaranteed full cover in hospital for specialists who we have a payment arrangement with, and up to 200% of the Discovery Health Rate (DHR) on Classic plans and up to 100% of the DHR on Essential and Coastal plans for other healthcare professionals.
  • Full cover for chronic medicine on our medicine list for all Chronic Disease List (CDL) conditions when you use a network pharmacy.
  • Comprehensive pre and postnatal healthcare services for maternity and early childhood.

Our five plans in the Core Series

  Classic Classic Delta Essential Essential Delta Coastal
Hospital cover
Unlimited private hospital cover at any hospital in any facility approved by Scheme.     Private hospitals in the four coastal provinces.
Unlimited private hospital cover at a network 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. 200% 200% 100% 100% 100%
Other healthcare professionals are covered at a percentage of the Discovery Health Rate. 200% 200% 100% 100% 100%
Chronic illness cover
Chronic condition: Cover for 27 Chronic Disease List conditions (once approved) according to the Prescribed Minimum Benefits.
Chronic medicine: Full cover for approved medicine on our medicine list at a designated service provider pharmacy.
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. R 250 000 R 250 000 R 250 000 R 250 000 R 250 000
Day-to-day cover
These plans do not offer.
day-to-day benefits
         

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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