Benefit Checker 2026
Colonoscopy
on Discovery Health Essential Smart
Your Co-payment
Payable to the provider at time of service.
Understanding this Cost
Colonoscopies listed in the Day Surgery network must be performed there. Out-of-network usage incurs R12,650 cost.
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
- Bowel prep 24h before.
- Clear fluids.
Recovery Time
24 hours recovery from sedation.
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 Smart.
Pre-authorize
Submit your quote to Discovery Health. Mention you are on the Essential Smart plan.
Admission
Ensure you choose a hospital from: Private hospitals in the Smart hospital network to avoid co-payments.
Important Notes
Smart Day Surgery Network required. Out-of-network upfront payment of R12,650.
Compare with other plans
Frequently Asked Questions
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