Benefit Checker 2026
Gastroscopy
on Discovery Health Classic Comprehensive
Your Co-payment
Payable to the provider at time of service.
Understanding this Cost
On Classic Comprehensive, a standalone Gastroscopy in hospital attracts a co-payment of R7,250. This is designed to encourage the use of 'Doctor's Rooms' where the procedure is often fully covered.
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
- Fast for at least 6 hours before the procedure (no food or water).
- Arrangement for a driver is essential as sedation is used.
- Stop blood thinners if advised by your doctor.
Recovery Time
1-2 hours in the recovery room. You can return to work the next day.
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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