Benefit Checker 2026
Gastroscopy
on Discovery Health Essential Smart
Your Co-payment
Payable to the provider at time of service.
Understanding this Cost
Essential Smart members should use the Smart Day Surgery Network for Gastroscopies to avoid a R12,650 upfront payment.
Smart Day Surgery Network
The specific list of day clinics for Classic and Essential Smart plans.
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
- Fast for 6 hours.
- Arrange transport.
Recovery Time
1-2 hours observation.
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
Ready to Join Essential Smart?
Speak to an accredited broker who can help you switch or sign up.