Discovery Health 2026
Classic Comprehensive
R10,037
Main Member
R9,492
Adult Dep.
R2,002
Child Dep.
25% Medical Savings Account allocation
Hospital Benefits
Annual Limit
Unlimited
Network
Any private hospital approved by the Scheme
Benefits & Coverage
Essential Screening and Prevention Benefits
Covers various screening tests at wellness providers for early detection of serious illnesses.
Screening Tests
Vaccines Covered
Day-to-day Benefits
Covers day-to-day healthcare expenses from defined benefits and accounts.
- medical savings account: Covers day-to-day medical expenses from available money in MSA.
- self payment gap: Period where claims are paid from own pocket until reaching Annual Threshold.
- day to day extender benefit: Covers certain day-to-day benefits after MSA is depleted.
- above threshold benefit: Covers day-to-day expenses at DHR or portion of DHR after reaching Annual Threshold.
Chronic Benefits
Covers treatment for a list of 27 medical conditions under the Chronic Disease List.
PMB Conditions
Access to treatment for conditions under Prescribed Minimum Benefits.
Medicine Cover
Full cover for approved chronic medicine on the medicine list.
Oncology Care Programme
Comprehensive cover for cancer treatment, including high-cost medicine and innovative treatment.
prescribed minimum benefits
Covers treatment costs up to the cover amount.
oncology benefit
Covers approved cancer treatment over a 12-month cycle.
oncology innovation benefit
Covers innovative cancer medicine meeting Scheme’s criteria.
extended oncology benefit
Extended cover for a defined list of cancers after reaching cover limit.
Hospital Cover
Unlimited hospital cover for comprehensive plans.
- admissions for scopes: Covers certain amounts from day-to-day benefits for scope procedures.
Day Surgery Network
Cover for specific procedures in the Day Surgery Network.
- how we pay: Covers services from Hospital Benefit, up to 200% of DHR for certain professionals.
International Travel Benefit
Covers medical emergencies when traveling outside South Africa.
- cover amount: Up to R5 million per person per journey
- duration: 90 days from departure
- exclusions: Pre-existing conditions
Procedure Co-payments
Frequently Asked Questions
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