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discovery health quote Discovery Health has the best Covid-19, medical aid benefit including testing, treatment and hospitalisation!


  1. Online Doctor Consultations available to all South Africans!
    Complete the risk assessment and choose to either access a virtual or face-to-face consultation at a network provider.
  2. Access to COVID-19 PCR testing funded in full, regardless of the outcome of the test when referred by the doctor or nurse that screened the patient.
  3. To assist members who have been diagnosed with or awaiting test results for COVID-19 to isolate themselves from their families, Discovery Health has partnered with reputable hotels to create specifically managed isolation hotels.
  4. For members who complete a health check with one or more high risk health indicators, funding for a virtual consultation with a healthcare professional to confirm the risk, make appropriate diagnoses, and prescribe the necessary treatment is provided.
  5. Home monitoring for at risk Covid-19 positive members. A pulse oximeter, for qualifying members - obtained from a network provider will be refunded and up to 3 consultations with a nurse to track and monitor oxygen-saturation levels, and appropriate referral to a GP where necessary.
  6. Confirmed cases of COVID-19 are covered for:
    Diagnostic testing
    Diagnostic testing for influenza
    Consultations with healthcare
    Defined supportive treatment and medicines
  7. In-hospital treatment related to COVID-19 for approved admissions is covered from the Hospital Benefit based on the chosen health plan and in accordance with Prescribed Minimum Benefits (PMB) where applicable.
  8. Extensive, easy to understand information on everything to do with Covid-19.
    Prevention, diagnosis, quarantine and self-isolation measures and treatment protocols. Regular informational updates for members.



discovery hospitalDO YOU WANT TO JOIN A MEDICAL AID THAT WILL REALLY MEET YOUR NEEDS AND BUDGET?

5 Key reasons to join the Discovery Health Medical Scheme


  1. The widest choice of health plans. The only medical aid with 23 plan options, so you can choose the option that best suits your health and financial needs, at any stage of your life.

    All plans have unlimited private hospital cover, out of hospital benefits and full cover in extensive healthcare networks!

  2. Real value through affordable contributions, which are on average 16.9% lower than other South African medical schemes, giving you real value for money! Unmatched benefits with unlimited private hospital cover and full cover within networks
  3. The highest financial stability rating. The only medical scheme with a AAA Global credit rating, giving you peace of mind that your claims will be paid.
  4. Access to the most advanced digital health technology giving you a smooth and instant support - 24/7. The Discovery app and website enables you to manage and take control of your health whenever it suits you.

    Wide-ranging and unique benefits, care programmes and services that ensure you and your doctor can access the best healthcare available when you need it.

  5. Vitality - to support your health. Rewards for choosing healthy behaviours.
  6. Shariah-compliant arrangement available on all plans.

Discovery is the leading medical aid in South Africa and there must be a reason for that!

This is certainly the finest medical aid for you and your family to join!
You are sure to find a healthcare plan that will protect you from high medical costs and be affordable too.

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WHAT ARE THE HOSPITAL BENEFITS?

discovery hospital

  • No overall limit hospital cover with every plan.
  • Use any private hospital on most plans.
  • Use network hospitals and get discounted rates!
  • Cover includes the hospital, admitting doctor, anaesthetist and any other approved healthcare professional accounts.
  • Full cover when you use linked doctors, specialists and other healthcare professionals!
  • Emergencies are covered in full.
  • Full cover for a defined list of procedures done in network day surgeries!


HOW ARE DAY TO DAY COSTS PAID?

day to day

  • On selected plans, day-to-day medical expenses (like GP, specialist consultations, medicine, radiology and pathology) are paid from a savings fund.
  • Unused funds carry over to the next year.
  • The Smart plans offer unlimited network benefits (through a network of GP's) with a co-payment when you use them.
  • The KeyCare plans offer primary care through a network of GPs.


WHAT ARE THE CHRONIC BENEFITS?

chronic

  • All the plans cover approved medicine for the PMB Chronic Disease List conditions. Certain plans cover additional conditions.
  • Use network providers and get full cover and have your medicine delivered to your door!
  • DiabetesCare and HIVCare programmes, together with your Premier Plus GP, will help you manage your specific chronic conditions.
  • You have unlimited cancer cover.



WHAT IF I HAVE HIGH OUT OF HOSPITAL CLAIMS?

1. A Day to day Extender Benefit - kicks in when your savings are used.Discovery Health will pay further costs for essential network healthcare services.
Depending on your plan, you can get full cover for GP consultation fees, blood tests, preferred day-to-day medicine, antenatal consultations, kids casualty visits, video call consultations with paediatricians and some external medical items.

2. Above Threshold Benefit - Certain plans have a safety net that gives you further day-to-day cover.
Once your claims add up to your threshold, Discovery Health pay the rest of your claims for that year - depending on your plan limits.

maternity3. Maternity Benefit - all plans offer comprehensive maternity and early childhood benefits, paid by the scheme.

4. Screening and Prevention Benefit - you and your children have access to cover that tests for detection and early warning signs of serious illness.


Other Benefits ...

  • International Second Opinions - for life-threatening and life-changing conditions.
  • International Travel Benefit
  • Africa Evacuation Benefit
  • Overseas Treatment cover - for treatments that not covered in South Africa.
  • Home-based Care - quality care in your home.
  • Compassionate Care Benefit
  • A defined list of the Latest Treatments
  • Discounted Optical Frames and Lenses
  • Additional Benefits for allied, therapeutic, psychology services and extended medical items.
  • Non-invasive Pre Natal Testing and newborn screening.


vitality

Vitality

is the world’s leading science-based behavioural-change programme that encourages and rewards you for leading a healthier lifestyle and for driving well.

Benefits of joining VITALITY are:

  1. Save up to 100% on your monthly gym fees!
  2. Up to 35% savings when you travel. PLUS, save up to 100% on two local flights a year!
  3. Up to R1 000 cash back per family each month for buying HealthyFood
  4. Up to 50% of your fuel spend rewarded!
  5. Half-price movies, PLUS kids watch for FREE!
  6. Up to 25% off Uber trips
  7. Weekly rewards ranging from coffees and smoothies to dream holidays with Vitality Active Rewards!
  8. Discovery Credit Card is a Visa card that gives you access to the rewarding world of Discovery Miles.
    Use it everywhere you shop and enjoy great rewards from a wide range of partners in our network.

It's been proven that Vitality members live longer than non-Vitality members!

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WHAT ARE CLASSIC, ESSENTIAL, AND COASTAL PLANS?

At the beginning of a year, all medical providers and medical aids decide on the cost of a procedure.
That is known as the 100% or scheme (medical aid) rate. Medical aids then pay at this rate.

If you use private providers, they can charge what they want - the private rate.
This can be 5 times more expensive than the medical aid rate!
In order to make a plan attractive to you, medical aids then offer plans that pay higher rates than the base, 100% medical aid rate.

Discovery’s CLASSIC plans pay at 2 times the medical aid rate.
The ESSENTIAL and COASTAL plans pay at 100% of the medical aid rate.

However, even with a CLASSIC plan, if you use a private provider who charges say, 5 times scheme rates, you can have a significant claim shortfall!

What you can do to prevent a possible claim shortfall.

1. Use providers who are linked to Discovery, as they charge scheme rates.
In this case, you may then choose not to join the more expensive (CLASSIC - 2 times medical aid rate plan) and rather join an ESSENTIAL plan as linked specialists are always paid in full.
(Please be aware that some limits and savings do reduce with the ESSENTIAL PLANS.)

OR,

2. Buy a Top up or Gap plan for around R 350 pm, per family!
This will boost in–hospital claims to 5 times the scheme rate and is your best option!
You can then safely take an ESSENTIAL plan, as the top up will cover any shortfall.

There are also a few co-payments, like diagnostic scopes and specialised dentistry to be aware of and a Top Up will cover these as well.


NETWORK PLANS?

If you are prepared to use network of providers, you can get plans at lower cost.
This is because Discovery can control what these providers charge and pass that onto you as a discounted premium.

These plans offer unlimited hospitalisation and essential day-to-day benefits for very attractive premiums!

The KeyCare Plus Plan uses listed hospital and day-to-day providers.
It has income-related premiums. So, if you do not earn high amounts, you can still join a medical aid and have access to private benefits!

It is South Africa's most popular, low-cost medical aid and there must be a reason for that!

Delta plans use listed hospitals and your choice of day-to-day providers.

Benefits are plan dependant.



CHECK THESE PLAN BENEFIT VIDEOS: (THEY OFFER A BRIEF BENEFIT EXPLANATION OF EACH PLAN).

Discovery will NOT INCREASE premiums until July 2021!


executive plan
EXECUTIVE PLAN - From R7,257

The most extensive cover for unlimited, (including private ward) in-hospital and day-to-day benefits with extended chronic medicine cover and an unlimited Above Threshold Benefit.

  • Guaranteed full cover for listed hospitals and specialists. Up to 300% of Discovery rate for other providers.
  • Full listed chronic medicine plus some additional chronic conditions, as well as access to an exclusive list of brand medicines.
  • Comprehensive pre- and postnatal healthcare services for maternity and early childhood.
  • The highest savings account for your day-to-day needs and an unlimited Above Threshold Benefit (ATB) healthcare needs, with an unlimited safety net when savings used and claims add up to a pre-determined amount.
  • Access to specialised, advanced medical care in South Africa and abroad.
  • Access to full cover for second opinion services.
  • Cover of up to US$1 million for medical emergencies when travelling outside of South Africa.

comprehensive plan
COMPREHENSIVE PLAN - From R4,507

Comprehensive cover for unlimited in-hospital and day-to-day cover with extended chronic medicine cover and an unlimited Above Threshold Benefit.

  • Guaranteed full cover for listed hospitals and specialists. Up to 200% of Discovery rate on Classic and up to 100% on Essential for other providers.
  • Full listed chronic medicine.
  • Cover for up to two cycles of assisted reproductive therapy if you meet the scheme’s benefit and clinical entry criteria. 75% of the treatment paid for, up to an overall limit per year.
  • Comprehensive pre- and postnatal healthcare services for maternity and early childhood.
  • A savings account for your day-to-day healthcare needs with an unlimited safety net when savings used and claims add up to a pre-determined amount.
  • Additional cover when your day-to-day savings run out - for GP consultation fees and kids casualty visits on the Classic plan.
  • Cover for medical emergencies when travelling.

priority plan
PRIORITY SERIES - From R3,278

Cost-effective unlimited in-hospital cover, essential chronic medicine cover and day-to-day benefits with a limited Above Threshold Benefit.

  • Guaranteed full cover for listed hospitals and specialists. Up to 200% of Discovery rate on Classic and up to 100% on Essential for other providers.
  • Full listed chronic medicine.
  • Comprehensive pre- and postnatal healthcare services for maternity and early childhood.
  • A savings account for your day-to-day healthcare needs with a limited safety net when savings used and claims add up to a pre-determined amount.
  • Additional cover when your day-to-day savings run out - for GP consultation fees and kids casualty visits on the Classic plan.
  • Cover for medical emergencies when travelling.


saver plan
SAVER SERIES - From R2,085

The most economical, unlimited in-hospital cover, essential chronic medicine cover and day-to-day benefits through a Medical Savings Account.
These plans are amongst the lowest cost Hospital and Savings plans in SA!

  • Unlimited cover in any private hospital.
  • Guaranteed full cover for listed hospitals and specialists. Up to 200% of Discovery rate on Classic and up to 100% on Essential for other providers.
  • Full listed chronic medicine.
  • Comprehensive maternity and certain early childhood healthcare services.
  • A savings account for your day-to-day healthcare needs with additional cover for GP consultation fees and kids casualty visits when savings spent.
  • Medical emergencies when travelling.

core plan
CORE SERIES - From R1,681

A value-for-money hospital plan that provides unlimited private hospital cover and essential cover for chronic medicine with no day-to-day cover.

  • Unlimited private hospital cover.
  • Guaranteed full cover for listed hospitals and specialists. Up to 200% of Discovery rate on Classic and up to 100% on Essential and Coastal for other providers.
  • Full listed chronic medicine.
  • Comprehensive pre- and postnatal healthcare services for maternity and early childhood.
  • Medical emergencies when travelling.

smart plan
SMART SERIES - From R1,400

The most cost-effective, unlimited in-hospital cover, essential chronic medicine cover plus limited day-to-day cover if you're willing to use providers in a specified network.

  • Guaranteed full cover for listed hospitals and specialists. Up to 200% of Discovery rate on Classic and up to 100% on Essential for other providers.
  • Full listed chronic medicine.
  • Comprehensive pre- and postnatal healthcare services for maternity and early childhood.
  • GP consultations, acute and over-the counter medicine, eye and dental check-ups and sports-related injuries, with fixed co-payments and/or limits.
  • Cover is plan dependant.
  • Medical emergencies when travelling.


keycare plan
KEYCARE SERIES - From R914

Affordable medical cover if you're willing to use providers in a specified network for both in-hospital and out-of-hospital treatment.
Best, ideal, affordable plan for pensioners and families on a strict budget.

  • Unlimited private listed hospital cover.
  • Day-to-day medical cover through your chosen GP.
  • Listed Day-to-day medicines.
  • Unlimited cover for GP consultations.
  • Comprehensive maternity and certain early childhood healthcare services.
  • Essential network cancer treatment.

discovery health student medical aid
Discovery Student Plan

Join this best, affordable Visa compliant Student Medical Aid.

FULLY COMPLIES WITH HOME AFFAIRS STUDY PERMIT!



WHAT IS CONNECTED CARE?

Provides you with access to health and wellness services from the comfort of your home. It is an integrated healthcare ecosystem of benefits, services and connected digital capabilities to help you manage your health and wellness at home.

  • Health monotoring devices
  • Electronic prescriptions
  • Home nurses
  • Online Coaches to help you manage your condition.
  • Educational content, specific to your condition.


top upPrivate provider fees are not regulated and many can charge up to 500% of the medical scheme rates!

Some plans pay claims at 200% or 300% of medical aid rates, offering you a lower claim shortfall, but these are more expensive.

Increasingly, plans also have procedure co-payments, which you have to fund.

You are strongly advised to consider a GAP or TOP UP insurance plan to address these threats.

This separate insurance plan will cover most in-hospital claim shortfalls and scheme co-payments.

By adding a Top Up plan you can improve your medical aid benefits, so-much-so, that you can even consider joining a lower cost/benefit plan - with a lower premium - and still have an excellent, no risk medical aid for virtually the same premium as the higher medical aid!


quote I want a quote.

Discovery Application - join nearly 3 million other happy members who have chosen this most trusted medical aid scheme!

TALK TO ME .... I am here to help you - AT NO CHARGE!
So, send me your questions and concerns and I'll answer them for you.

I confirm that I have read and understood the notes below and agree to further communications sent to me. Yes

We have a Facebook page as well ...

You must consult the schemes/company product brochures and rules for comprehensive benefit descriptions.

P.S. If you work for a company, pass the Discovery Health Medical Scheme onto your HR I'm sure that Discovery Health can save your company substantial money.
And won't that look good for you!

You must consult the schemes/company product brochures and rules for comprehensive benefit descriptions.

income protectionMedical aid pays healthcare costs.
What if a disability STOPS your income?


peter pyburn brokerpeter pyburn

Last update: May 6, 2021

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Disclaimer and Medical Disclosure

Medical Aid Authority Peter Pyburn.
South African rights reserved.