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Why Discovery Health is the most Popular Medical Aid in South Africa.

Discovery Health stands out as South Africa's most popular and trusted medical aid.

What makes this industry giant, with over 58% of the market share and more than 3,988 million lives as members and beneficiaries so appealing?
Below, are some of the comprehensive benefits and innovative features that makes this scheme a preferred choice for individuals and families looking for exceptional value and benefits.

Discovery Health offer up to 23 plans - all with no overall hospital cover limits and extensive out-of-hospital benefits.
Plans have a Shari'ah Compliant arrangement option to choose from.

Discovery Health offers:

• Affordable premiums.
• Comprehensive benefits.
• Access to digital tools and services for plan management.
• Excellent financial stability giving you complete peace of mind that your medical aid will pay claims and be there when you need it.

Request a Free Discovery Quote

Discovery Health Benefits

1. Hospitalisation and Emergency

The main purpose of medical aid is to ensure access to private hospitals when emergencies strikes.
Discovery Health delivers this through:

• Guaranteed, full hospital cover for life-threatening emergencies, including transport.
• Comprehensive, no overall limit cover for hospital admissions in any hospital.
• Discounted premiums for plans that use a listed hospital network.
• Hospital accounts like the theatre, ward, medication, as well as related accounts such as: doctors, anaesthetist, radiology, and pathology are covered.
• Listed in hospital GP and Specialists are paid in full.
  Others are paid at the Discovery rate or 2 or 3 times that rate depending on the plan you join.
• There are direct payment arrangements with most specialists.
• Benefits for specific day surgery procedures and specialist-room treatments.

2. Day-to-Day and Personal Health Fund

Discovery's savings accounts cover day-to-day medical expenses, including GP visits, medication, dentistry, and optometry.

Key features include:

• Savings fund, from which you pay all your day-to-day costs like GP, medicine (except for registered and approved chronic medicine), optometry and dentistry, is provided with certain plans.
• You manage your spending and there are safety nets and extended benefits from listed providers, should you spend all your savings, ensuring you are never out of cover.
• Savings not spent roll over to the next year or can be used to pay for treatments that are not covered, such as certain cosmetic procedures.
• There are comprehensive benefits for maternity and early childhood that cover certain healthcare services before and after birth.
• Benefits include unlimited cover for biokineticists, acousticians, social workers, physiotherapists or chiropractors, psychologists, occupational therapists, speech and language therapists and external medical items, for pre-defined conditions.
• You can enjoy full cover and avoid co-payments when claiming for medicine on the Preferred Medicine List at one of over 2,400 listed pharmacies or by using MedXpress, a convenient medicine ordering service.
• There are also low cost, network plans that have mostly unlimited day-to-day benefits with listed providers.

3. Chronic Illness and Prescribed Minimum Benefits

All plans offer full chronic medicine cover for conditions (some plans up to 49 conditions) as defined by the Prescribed Minimum Benefit Chronic Disease List.

Members benefit from:

• Full chronic medication cover, including generic and non-generic medicines.
• High monthly rand amount for non-listed medicines.
• Allocated consultations, tests, and procedures for both the diagnosis and the ongoing management of the CDL conditions are also paid for.
• Special care programs for diabetes, mental health, HIV, and heart conditions.
• Out-of-hospital conservative care for conditions like dyspepsia, tonsillitis, and spinal care, allowing your doctor to manage your condition and improve your health.

How to Join or Switch to Discovery Health (Free Broker Assistance)

4. Screening and Prevention

You have access to screening and prevention benefits that pay for tests to detect early warning signs of serious illness, so you can get the best care as early as possible.

Discovery covers blood glucose, cholesterol, HIV, Pap smear or HPV test for cervical screening, mammograms and/or ultrasounds and prostate screenings at listed providers.

These specific tests do not affect your day-to-day benefits and they should not have any co-payments.

The benefit also includes:
Screening for Kids covering height, weight, head circumference, health and milestone tracking growth assessment tests, at listed providers.
Screening for Seniors aged 65 years and older who have cover for age-appropriate screening tests at a GP or defined pharmacy and includes hearing, visual screening and a falls risk assessments.

5. Unique and Innovative Benefits

Discovery Health offers unlimited cancer cover, including high-cost medications and innovative treatments that are not offered by many other medical aids.

Several plans extend this cover to specialist medicines, biologics, and brachytherapy, ensuring members access cutting-edge care.

Discovery maternity Infertility and Assisted Reproductive Therapy benefits which are an industry first and assists with drug treatment, surgical repair and assisted reproductive techniques.

Certain out-of-hospital, traumatic event costs, that are paid for the year (and following year) in which the trauma occurred.
They include basic dental trauma, dental appliances, prostheses and their placement.

Superior Healthcare Quality, links you to healthcare providers and facilities that offer quality clinical care programmes designed to optimise your care.

You have full cover at Centres of Excellence for various conditions like colorectal cancer and back surgery, giving you the best healthcare for these complicated medical conditions.

Certain life-changing chronic conditions (like cardiac, oncology and diabetes) need careful management and Health Coaches, who are qualified in health-related fields such as psychology, nutrition and health coaching, are available to guide and assist members in self-managing such conditions.

International Second Opinion services for life-threatening and life-changing conditions are available from Cleveland Clinic.

Overseas Treatment benefit, where treatment that is not available in South Africa will be covered.

International and Africa Evacuation cover for emergency medical evacuations from certain sub-Saharan African countries back to South Africa.

A WHO Global Outbreak Benefit is available to all members of Discovery Health during a declared outbreak period.

Hospital at home - an excellent, innovative benefit with safe and effective hospital-level care for medical and surgical conditions that would otherwise require hospitalisation.

The use of telemedicine and digital healthcare technologies has allowed for effective healthcare done in a patient's home.
A personalised care team, including doctors and nurses, provide 24-hour clinical support and remote monitoring using Smart Health Devices.
Patients are monitored real-time, through devices recording vitals, with an alert notification to providers if urgent intervention is required.

Discovery has a digital patient community platform which allows members living with chronic illnesses like diabetes, heart disease and long COVID, to connect with and learn from each other, through regular blogs and live Q&A with a panel of local and international medical experts.

All members get access to several tools and services, like online access to comprehensive information on what treatments, procedures, medical devices and medicines Discovery pays for.

Here are the Discovery plans

Request a Free Discovery Quote

6. Vitality - Get Rewarded for Being Healthy.

Discovery Health members can also activate Vitality, a science-based wellness program.
By making healthier choices, members earn rewards, such as discounts on fitness, travel, and lifestyle expenses.

Combine this with Discovery Bank, and members enjoy seamless healthcare payments and additional financial rewards.

Discovery Health Medical Scheme members can activate Discovery Pay by downloading the Discovery Bank app and get additional rewards through Vitality Travel, Vitality Money and Discovery Miles.

Discovery Pay Account is a simple and fast way to pay your contacts, health needs and gym all for no additional cost.

Surely these benefits are enough to make Discovery Health your medical aid of choice?

Discovery Health Plan Series Comparison:

Plan Series	Hospital Cover	Day-to-Day Benefits	Savings / Above Threshold	Best Suited For
Comprehensive Series	Unlimited at any private hospital	Extensive day-to-day cover using a Savings Account and safety net when savings spent.	Includes savings, Above Threshold safety net, and day-to-day benefit extender.	High-income earners, older individuals, or families with predictable, high annual medical expenses.
Priority Series	Unlimited at any private hospital	Day-to-day cover paid from a savings Account.	Includes savings, Above Threshold safety net, and day-to-day benefit extender.	Families who want flexible hospitalisation choices with moderate, managed day-to-day savings.
Core Series	Unlimited at any private hospital	None (pure hospital cover and Prescribed Minimum Benefits.	None (designed strictly for major medical events and emergencies).	Healthy individuals or families wanting robust hospital protection while paying for out-of-hospital expenses cash-out-of-pocket.
Smart Series	Unlimited at designated Smart network hospitals. Emergencies covered anywhere.	Limited digital day-to-day benefits accessed via the Discovery app and network providers.	None (relies on managed network coverage rather than traditional savings accounts).	Tech-savvy, cost-conscious individuals and young families willing to use designated medical networks for lower monthly premiums.
KeyCare Series	Covered in full at specific KeyCare network hospitals (authorization required).	Comprehensive primary care through assigned KeyCare network GPs and clinics.	None (network-restricted primary care and hospital benefits).	Lower-income earners, students, or single professionals seeking affordable, fully managed medical aid.

Ready to secure your family's healthcare?
Join Discovery Health today!

Join now using the Discovery application

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!

I am an Affiliated Independent Financial Adviser and Medical Aid Broker.
I market Discovery Health products and am not employed by them.

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

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

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