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17/12/2020

What is Discovery comprehensive cover?

What is Discovery comprehensive cover?

The Comprehensive plans have an unlimited ATB. Depending on your plan, and once approved on the Chronic Illness Benefit (CIB), you have cover for medicine for an additional list of life-threatening or degenerative conditions, as defined by us. We set the Annual Threshold amount at the beginning of each year.

What is comprehensive cover on medical aid?

A comprehensive medical aid plan will typically include full cover of hospitalization at private clinics, cover of day to day expenses at a range of medical providers and specialists, and cover of chronic medication.

What does Discovery Classic priority cover?

Discovery Health Classic Priority bundles key benefits like 200% hospital cover, pathology tests at network providers and other out of hospital benefits into a package suitable for those who do not require comprehensive cover.

What is the self payment gap on Discovery Classic comprehensive?

The Self-payment Gap (SPG) only applies to the Executive, Comprehensive and Priority Plans. You are in a SPG when you’ve used the funds in your Medical Savings Account before your expenses add up to the Annual Threshold. During this time, you will need to pay for your day-to-day expenses from your own pocket.

What is the best medical insurance in South Africa?

Hippo has identified that the most sought after schemes are:

  • Discovery Health.
  • Fedhealth.
  • Medihelp.
  • Medshield.
  • Bonitas.
  • Momentum.

Does discovery cover tummy tuck?

Cosmetic procedures, like tummy tucks or rhinoplasty to give you a perfectly straight nose, generally won’t be covered.

What is mean by comprehensive insurance?

Comprehensive insurance is insurance coverage that pays for the repair or replacement. Comprehensive car insurance typically covers third-party liabilities, damage from an accident, fire, natural calamity, theft, etc.

What is a comprehensive scheme?

1 of broad scope or content; including all or much. 2 (of a car insurance policy) providing protection against most risks, including third-party liability, fire, theft, and damage.

Does Discovery pay for CT scans?

We pay MRI and CT scans done during an approved hospital admission from your Hospital Benefit up to the Discovery Health Rate (DHR) as long as the scan is related to the reason for the admission. The scan must be done in a network hospital.

Which medical aid is best in South Africa?

This chart shows member distribution across the top 5 Medical Aids in South Africa.

  • Discovery Health. Members: 1.14 million. Beneficiaries: 2.46 million.
  • Bonitas Medical Fund. Members: 273,285. Beneficiaries: 602,415.
  • Momentum Health. Members: 100 936. Beneficiaries: 200 062.
  • Medshield. Members: 84,860.
  • Fedhealth. Members: 72,945.

What is GAP cover discovery?

Gap Cover from Discovery is a cost-effective solution that gives you additional financial protection against these unforeseen costs. Discovery Gap Cover is a short-term insurance policy, underwritten by Discovery Insure Ltd, registration number 2009/011882/06, an authorised financial services provider.

How is a self payment gap calculated?

You can calculate the self-payment gap by subtracting the annual amount in your savings account from the threshold at which the above-threshold benefits apply.

What do you need to know about Discovery Health Plan?

All Discovery Health Medical Scheme (DHMS) plans cover the costs related to the diagnosis, treatment and care of: an emergency medical condition, a defined list of 270 diagnoses, a defined list of 27 chronic conditions. Your medical condition must qualify for cover and be part of the defined list of Prescribed Minimum Benefit conditions.

What do comprehensive plans for your life do?

COMPREHENSIVE PLANS Healthcare for your life HEALTH PLAN GUIDE COMPREHENSIVE PLANS Discovery Health Medical Scheme provides health plans that are as unique as you are. Seamless, personalised, connected health cover to protect you and those that you care for most, at every stage of your life.

What do comprehensive plans at Disey heath do?

COMPREHENSIVE PLANS Discovery Health Medical Scheme provides health plans that are as unique as you are. Seamless, personalised, connected health cover to protect you and those that you care for most, at every stage of your life. DISEY HEATH MEDIA SHEME

Is there a no limit on Discovery Health?

Internal Prosthesis: No limit if you use Discovery Network. Non-network provider attracts a co-payment and limit Yes, as per limits. Finding it difficult to make sense of all this?