Our medical aid plans

Discovery Health Medical Scheme is South Africa’s most-loved medical aid

Your health is everything. When you join Discovery Health Medical Scheme, you get affordable access to comprehensive healthcare benefits, as well as a suite of tools and services to help you manage your health. Choose from the widest range of medical aid plans to meet your individual needs.

Here’s how our medical aid plans are put together

Hospital

There is no overall limit for hospital cover on any Discovery Health Medical Scheme plan. You can go to any private hospital on most plans.

Chronic Illness Benefit (CIB)

All our plans cover approved medicine for the Prescribed Minimum Benefit Chronic Disease List conditions. Certain plans cover additional conditions.

Screening & prevention

You and your children have access to screening and prevention benefits that cover tests to detect early warning signs of serious illness. Having these tests done helps you to stay healthy, because prevention is better than cure.

 
 
 
 
 
 
 
 

Medical savings account (MSA)

On selected plans we pay your day-to-day medical expenses from your Medical Savings Account (MSA) to empower you to manage your spend.

Day-to-day Extender Benefit (DEB)

When you have spent your annual Medical Savings Account (MSA) allocation, we extend your day-to-day cover through the Day-to-day Extender Benefit for essential healthcare services in our network.

Above Threshold Benefit (ATB)

Certain plans have an Above Threshold Benefit that gives you further day-to-day cover.

 

Our medical aid plan series summaries

Everyone has different health needs. We have the medical aid plan to match your needs and your pocket.

We offer you the widest range of medical aid plans available in the market today, catering for your specific healthcare and financial needs. Our plans range from the most comprehensive private healthcare cover on our Executive Plan to our KeyCare plans, where you get cost-effective private healthcare cover through our extensive network of providers.

EXECUTIVE PLAN

From

R5 544

The Executive Plan offers you the most extensive cover for in-hospital and day-to-day benefits with extended chronic medicine cover and an unlimited Above Threshold Benefit.

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COMPREHENSIVE SERIES

From

R3 410

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

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PRIORITY SERIES

From

R2 551

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

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SAVER SERIES

From

R1 634

The most economical in-hospital cover, essential chronic medicine cover and day-to-day benefits through a Medical Savings Account.

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CORE SERIES

From

R1 317

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

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SMART SERIES

From

R1 100

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

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KEYCARE SERIES

From

R644

Affordable medical cover if you’re willing to use providers in a specified network for both in-hospital and out-of-hospital treatment.

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Extra savings and benefits

You have access to exclusive value-added offers and savings to enhance your cover as well as access to our digital tools to help you manage your health plan 24/7.

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Recognised in South Africa and globally

“My cancer treatment journey was made easier with the access to quality care that I had. I’m glad I took the treatment options that I did.”
Norma Moller – Discovery Health Medical Scheme member

The Discovery Health Medical Scheme is an independent non-profit entity governed by the Medical Schemes Act, and regulated by the Council for Medical Schemes. It is administered by a separate company, Discovery Health (Pty) Ltd, an authorised financial services provider.

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