Benefit Checker 2026
Gastroscopy
on Discovery Health Essential Saver
Your Co-payment
Understanding this Cost
Good news! On the Essential Saver, Gastroscopy is fully covered. This means you won't have to pay any upfront fees if you use a provider in the scheme's network. Make sure to obtain pre-authorization to secure this benefit.
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.
Great Value
You pay R 3 790 less than the average co-payment for this procedure.
PMB Status
This procedure is not typically covered as a PMB, meaning standard scheme rules and co-payments apply.
Patient Guide
Financial Readiness
Medical Savings Account
Ensure you have sufficient funds in your MSA. Your generic annual allocation is R4 356 (varies by family size).
How to Prepare
- For Essential Saver 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. Essential Saver members typically 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 Essential Saver.
Pre-authorize
Submit your quote to Discovery Health. Mention you are on the Essential Saver plan.
Admission
Ensure you choose a hospital from: Any private hospital approved by the Scheme to avoid co-payments.
Important Notes
R0 if performed in Day Surgery Network. Out-of-network upfront payment R7,250
Compare with other plans
Frequently Asked Questions
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