Here's what you get:
- Personal Health Fund
- Unlimited hospital cover at any private hospital approved by the Scheme
- Full in-hospital cover for specialists with a payment arrangement with us. Up to 200% of the Discovery Health Rate for other specialists
- Day surgery for defined conditions at a facility in the Day Surgery Network
- Maternity cover for pre- and post-natal healthcare
- Full cover for Chronic Disease List conditions
- Comprehensive cancer treatment including the Oncology precision medicine at a Network Provider or designated service provider
- Cover depends on the plan you choose
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. | ||||
| 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 | |||||
| Cover for 27 Chronic Disease List conditions (once approved) according to the Prescribed Minimum Benefits. | |||||
| 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 |
| Comprehensive cancer treatment including the Oncology precision medicine at a Network Provider. | |||||
| Day-to-day cover | |||||
| Personal Health Fund. | |||||
This is only a summary of the key benefits. Please consult the health plan guide for more details. Discovery Health Medical Scheme Rules apply.
