Yes. Planned admissions outside the Delta Hospital Network can trigger an upfront payment requirement; preauthorisation and using the correct network hospital is essential to avoid large out-of-pocket costs. Strategy reference: nly-2026.

The Oncology Benefit covers the first R250,000 in an approved 12-month cycle, and after that the Scheme pays up to 80% of the Discovery Health Rate for subsequent treatment costs (PMB cancer treatment remains covered in full when applicable). Strategy reference: nly-2026.

Yes. On the Classic Delta Core Plan, cancer-related healthcare services are covered at a network provider under the Oncology Benefit rules. Strategy reference: nly-2026.

Potentially. The guide notes that cancer-related services are paid up to 100% of the Discovery Health Rate, and members may face co-payments/shortfalls if providers charge above that rate. Strategy reference: nly-2026.

Yes. You must nominate a GP in the Discovery Health Network as your Primary Care GP to manage your chronic conditions, and full cover for GP consultations depends on visiting your nominated network GP. Strategy reference: nly-2026.

Cover is limited: medicine not on the medicine list formulary is paid up to the generic Reference Price (where applicable) and up to the monthly Chronic Drug Amount for that medicine class. Strategy reference: nly-2026.

Often yes, depending on where it is done and whether it qualifies under specific no-upfront-payment scenarios (for example, certain PMB-related or approved circumstances, or in-rooms scopes at a network provider). Strategy reference: nly-2026.

No. MRI and CT scans are paid up to 100% of the Discovery Health Rate when related to a hospital admission and covered from the Hospital Benefit; if not related to admission (or for certain conservative treatment contexts), you may have to pay yourself. Strategy reference: nly-2026.

The Maternity Benefit includes up to 8 antenatal consultations, up to two 2D ultrasound scans (or one 2D plus a nuchal translucency test), defined blood tests, and other defined pregnancy-related services (subject to activation and rules). Strategy reference: nly-2026.

You can activate it by creating your pregnancy/baby profile on the Discovery Health app or website, preauthorising your delivery, or registering your baby as a dependant on the Scheme. Strategy reference: nly-2026.