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Discovery – Smart Series

From R1 400
For the Main Member in 2021
Main Member 250 000

Hospital cover

Unlimited private hospital cover at a network hospital Yes
Full cover with a specialist we have a payment arrangement with Yes
Specialists we don’t have a payment arrangement with Covered up to 200% of the Discovery Health Rate
Other healthcare professionals Covered up to 200% of the Discovery Health Rate

Chronic illness cover

Chronic conditions
Cover for 27 Chronic Disease List conditions (once approved) according to the Prescribed Minimum benefits
Yes
Chronic medicines
Full cover for approved medicine on our medicine list at a designated service provider pharmacy
Yes

Cancer cover

We cover a set amount in full over a 12-month period. Costs above this amount attract a 20% co-payment R200 000
Prescribed Minimum Benefit conditions are covered in full
On Essential Smart we cover cancer treatment in our network

Day-to-day cover

Unlimited GP consultations with a fixed co-payment for each consultation Classic Smart – R55
Essential Smart – R110
One eye test at an optometrist with a fixed co-payment for the test Classic Smart – R55
Essential Smart – R110
One dental check-up with a fixed co-payment for the check-up Classic Smart – R110
Essential Smart – R165
Cover for acute medicine categories, up to an annual limit Classi Smart Plan only
Cover for over-the-counter (OTC) medicine obtained from a network pharmacy Yes
Cover for sports-related injuries: basic X-rays, two specialist visits and a total of four visits to either a physiotherapist, biokineticist or chiropractor when referred by a Smart Network GP. Classic Smart Plan only
Co-payment of R110