Benefit Checker 2026
Colonoscopy
on Discovery Health Essential Dynamic Smart
Your Co-payment
Payable to the provider at time of service.
Understanding this Cost
Colonoscopies require use of the Dynamic Smart Day Surgery Network. Using an out-of-network provider triggers a R15,300 upfront fee.
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 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
- Bowel prep as prescribed 24h before.
- Clear fluids only.
Recovery Time
Sedation recovery time 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 Essential Dynamic Smart.
Pre-authorize
Submit your quote to Discovery Health. Mention you are on the Essential Dynamic Smart plan.
Admission
Ensure you choose a hospital from: Private hospitals in the Dynamic Smart hospital network to avoid co-payments.
Important Notes
Dynamic Smart Day Surgery Network required. Out-of-network upfront payment of R15,300.
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Frequently Asked Questions
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