Benefit Checker 2026
Gastroscopy
on Discovery Health Priority Essential
Your Co-payment
Understanding this Cost
Good news! On the Priority Essential, 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 Essential 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 Essential 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 Essential.
Pre-authorize
Submit your quote to Discovery Health. Mention you are on the Priority Essential 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, R4,700 upfront payment outside network
Compare with other plans
Frequently Asked Questions
Ready to Join Priority Essential?
Speak to an accredited broker who can help you switch or sign up.