Discovery Health

Discovery Health offers various medical aid plans with different contribution levels and medical savings. The table below shows the contribution ranges and savings available for each plan.

*Contribution ranges are estimates and may vary. For accurate details, consult Discovery Health or a healthcare advisor.

The Executive Plan is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 300%. Co-payments are applied to specialized radiology and/or scopes and a few other procedures. Day-to-day claims are paid from savings with additional benefits applying after savings are exhausted. Unlimited cover for GP & specialist consults, pathology, radiology, specific scopes, and MRI/CT scans.

The Comprehensive series offers unlimited hospital cover and is suited for families requiring extensive medical cover. Co-payments are applied to specialized radiology and/or scopes and dentistry. Day-to-day claims are paid from savings, followed by a self-payment gap, and then from additional benefits. Unlimited cover is provided for GP & specialist consults, pathology, radiology, basic dental check-ups, and MRI/CT scans. The Classic Smart Comprehensive plan uses a network of hospitals and offers limited day-to-day benefits. Once the threshold is reached, day-to-day claims are paid from the scheme's risk pool.

The Priority series offers unlimited hospital cover and is suited for families requiring additional medical cover. Co-payments are applied to an extensive list of in-hospital procedures. Day-to-day claims are paid from savings, followed by a self-payment gap, and then from a limited above-threshold benefit.

The Saver series offers unlimited hospital cover and is suitable for young families. Co-payments are applied to specialized radiology and/or scopes and dentistry. Day-to-day claims are paid from savings.

These are mainly hospital plans with day-to-day benefits limited to network GP consults, acute and over-the-counter medicines, dental check-ups, eye tests, plus some preventative care and maternity benefits. Both options apply co-payments to certain in-hospital procedures, and the Essential option has a comprehensive list of in-hospital exclusions. The Classic option also provides cover for some sports-related injuries. All treatments are subject to provider networks and co-payments.

The Core series offer unlimited hospital cover and are ideal for young, health individuals. Co-payments are applied to specialized radiology and / or scopes and dentistry. This is a hospital plan and does not provide cover for day to day claims.

These are entry-level capitated network products that are affordable and ideal for low-earning individuals. A comprehensive list of in-hospital exclusions applies, and all treatments are subject to network providers and network protocols.

Vitality is a health programme that rewards members for living well. You can earn Vitality Health points by getting active, eating well, and completing all your health checks. Members will enjoy a variety of rewards at each Vitality status level and can increase their status as they get healthier.