Benefit Checker 2026
Gastroscopy
on Discovery Health Classic Smart Comprehensive
Your Co-payment
Payable to the provider at time of service.
Understanding this Cost
Although Classic Smart Comprehensive is a premium plan, this procedure attracts a co-payment of R12 650. This is typically a deductible applied when using a specific setting (e.g., Hospital vs. Day Clinic) or a provider outside the plan's network.
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 8 860 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
- For Classic Smart Comprehensive admission, 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
Post-procedure monitoring is 1-2 hours. Classic Smart Comprehensive members typically return to work the next day.
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 Classic Smart Comprehensive.
Pre-authorize
Submit your quote to Discovery Health. Mention you are on the Classic Smart Comprehensive plan.
Admission
Ensure you choose a hospital from: Private hospitals in the Smart Hospital Network 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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