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 g for more details. Discovery Health Medical Scheme Rules apply. uide