The most extensive in-hospital medical aid cover with comprehensive chronic and day-to-day benefits
Choosing the right medical aid plan is important.
We're here to help you.
Here's what you get:
- Unlimited private hospital cover in any facility approved by the Scheme including private ward cover of up to R2,700 each day.
- Guaranteed full cover in hospital for specialists who we have a payment arrangement with, and up to 300% of the Discovery Health Rate (DHR) for other specialists.
- Full cover for chronic medicine on our medicine list for all Chronic Disease List (CDL) conditions, and additional conditions on our Additional Disease List (ADL), as well as cover for a defined list of the latest treatments through the Specialised Medicine and Technology Benefit.
- Cover for up to two cycles of assisted reproductive therapy (ART) if you meet the scheme's benefit and clinical entry criteria. We will fund 75% of the treatment up to an overall limit of R135 000 per person per year.
- Extensive benefits for maternity and early childhood that cover certain healthcare services before and after birth.
- Additional cover through the Day-to-day Extender Benefit (DEB) for GP consultation fees and kids casualty visits when your Medical Savings Account (MSA) runs out.
- The highest savings account and an unlimited Above Threshold Benefit (ATB) for your day-to-day healthcare needs.
- The Overseas Treatment Benefit gives you cover for treatment not available in South Africa. Access to full cover for second opinion services. Cover of up to US$1 million per person for medical emergencies when travelling outside of South Africa.
Our Executive Plan
Hospital cover | |
Unlimited private hospital cover in any facility approved by the Scheme. | |
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. | 300% |
Other healthcare professionals are covered at a percentage of the Discovery Health Rate. | 200% |
Chronic illness cover | |
Chronic condition: Cover for 27 Chronic Disease List (CDL) according to the Prescribed Minimum benefits. | |
Chronic condition: Cover for additional conditions on our Additional Disease List (ADL). | |
Chronic medicine: Full cover for approved medicine on our medicine list. | |
Cancer cover | |
We cover the first R500,000 of your approved cancer treatment over a 12-month cycle in full. | |
Extended Oncology Benefit | |
The highest Medical Savings Account (MSA) and an unlimited Above Threshold Benefit (ATB) for your day-to-day healthcare needs. | |
Day-to-day cover | |
Day-to-day Extender Benefit pays for certain day-to-day benefits after the money in your Medical Savings Account (MSA) has run out and before you reach your Annual Threshold. |
This is only a summary of the key benefits. Please consult the health plan guide for more details. Discovery Health Medical Scheme Rules apply.