Benefit Checker 2026
Gastroscopy
on Discovery Health Priority Classic
Your Co-payment
Understanding this Cost
Good news! On the Priority Classic, 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 listed as a Prescribed Minimum Benefit (PMB) condition. It may be covered in full if specific clinical criteria are met.
Patient Guide
How to Prepare
- For Priority Classic 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. Priority Classic 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 200% Discovery Health Rate covered by Priority Classic.
Pre-authorize
Submit your quote to Discovery Health. Mention you are on the Priority Classic plan.
Admission
Ensure you choose a hospital from: Any private hospital approved by the Scheme to avoid co-payments.
Important Notes
Unlimited if performed in Day Surgery Network, R4,650 upfront payment outside network
Compare with other plans
Frequently Asked Questions
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