Benefit Checker 2026
Colonoscopy
on Discovery Health Classic Comprehensive
Your Co-payment
Payable to the provider at time of service.
Understanding this Cost
A Colonoscopy on Classic Comprehensive has a R7,250 co-payment if performed in a hospital without being part of a care basket. Consider using an In-Rooms provider to potentially reduce costs.
Co-payment
A fixed amount you must pay upfront for a medical service. The scheme pays the rest.
PMB (Prescribed Minimum Benefit)
A set of conditions that medical schemes must cover in full by law, provided you use a Designated Service Provider (DSP).
Network Hospital
A hospital that has an agreement with Discovery Health to charge an agreed rate. Using a non-network hospital may result in a higher co-payment.
Higher than Average
This co-payment is R 3 460 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.
Patient Guide
How to Prepare
- Follow a low-fiber diet 2-3 days before.
- Take the prescribed bowel preparation medication the day before (this will cause frequent loose stools).
- Stay near a bathroom and drink clear fluids only on the day before.
Recovery Time
You will be monitored until the sedative wears off. Bloating and gas are common for a few hours.
Administrative Timeline
See your Doctor
Consult your GP or Specialist to confirm the need for the procedure.
Get a Quote
Ask for a detailed quote. Check if it falls within the 100% Discovery Health Rate covered by Classic Comprehensive.
Pre-authorize
Submit your quote to Discovery Health. Mention you are on the Classic Comprehensive plan.
Admission
Ensure you choose a hospital from: Any private hospital approved by the Scheme to avoid co-payments.
Important Notes
Higher upfront payment if both gastroscopy and colonoscopy are performed.
Compare with other plans
Frequently Asked Questions
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