Benefit Checker 2026
Gastroscopy
on Discovery Health Active Smart
Your Co-payment
Payable to the provider at time of service.
Understanding this Cost
On Active Smart, Gastroscopy must be performed in the Dynamic Smart Day Surgery Network. If you go out-of-network, you pay an upfront amount of R15,300. PMB conditions may qualify for full cover at a designated provider.
Day Surgery Network
A network of approved facilities where day procedures like scopes are performed at reduced or no cost.
Upfront Payment
An amount you must pay before or at admission if using an out-of-network facility.
Higher than Average
This co-payment is R 11 510 higher than the market average of R 3 790.
PMB Status
This procedure is listed as a Prescribed Minimum Benefit (PMB) condition. It may be covered in full if specific clinical criteria are met. Please note: You must use a Designated Service Provider (DSP) to guarantee full cover.
Patient Guide
How to Prepare
- Fast for at least 6 hours before the procedure (no food or water).
- Arrange for someone to drive you home as you will be sedated.
- Inform your doctor about any chronic medication you are taking.
Recovery Time
You can usually go home 1-2 hours after the procedure. Mild bloating or throat irritation may persist for 24 hours.
Administrative Timeline
See your Doctor
Consult a Network GP to avoid out-of-pocket consultation fees.
Get a Quote
Ask for a detailed quote. Check if it falls within the 100% Discovery Health Rate covered by Active Smart.
Pre-authorize
Submit your quote to Discovery Health. Mention you are on the Active Smart plan.
Admission
Ensure you choose a hospital from: Private hospitals in the Dynamic Smart hospital network to avoid co-payments.
Important Notes
Day Surgery Network required. Out-of-network upfront payment of R15,300.
Compare with other plans
Frequently Asked Questions
Ready to Join Active Smart?
Speak to an accredited broker who can help you switch or sign up.