You are covered in full these hospitals, in accordance with your health plan benefits. PPNs? health plan using the Discovery app and website The benefits explained in this brochure are provided by Discovery Health Medical Scheme, registration number 1125, administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07, an authorised financial services provider. Discovery Smart network hospitals. Prescribed Minimum Benefit conditions are covered in full. Addison’s disease, asthma, bipolar mood disorder, bronchiectasis, cardiac failure, cardiomyopathy, chronic obstructive pulmonary disease, chronic renal disease, coronary artery disease, Crohn’s disease, diabetes insipidus, diabetes Type 1, diabetes Type 2, dysrhythmia, epilepsy, glaucoma, haemophilia, HIV, hyperlipidaemia, hypertension, hypothyroidism, multiple sclerosis, Parkinson’s disease, rheumatoid arthritis, schizophrenia, systemic lupus erythematosus, ulcerative colitisCover for over-the-counter (OTC) medicines obtained from a network pharmacy, up to an annual limit of R400 per family per year.An upfront payment applies for planned admissions outside of the Smart Plan Hospital Network or for a defined list of procedures performed outside of the Smart day surgery network R8 800You get unlimited GP consultations when visiting a GP in the Smart Network GP. And they are free!Need a new plan? The Discovery Health Essential Saver provides cover in any private hospital in SA with no overall limit, international emergency travel cover and evacuation services in certain African countries. Smart essential plan. No, it doesn’t matter if you are sick already.
However, you must pay for the cost of all dental appliances, their placements and orthodontic treatment (including the related accounts for orthognathic surgery)Scopes (gastroscopy, colonoscopy, sigmoidoscopy and proctoscopy) You must pay the first R4 550 of the hospital account. Please check back soon! Type of Medical Aid Plan: Hybrid. It is administered by a separate company, Discovery Health (Pty) Ltd, an authorised financial services provider. Discovery Health Medical Scheme - Essential Smart Plan DO NOT take the Essential Smart Plan if you want your claims to be covered. Day to day Benefits: Unlimited Smart Network GP consultations, with a R100 payment for each consultation One eye test at a network optometrist, with a R100 payment for the test. You have cover for the 27 CDL conditions according to the Prescribed Minimum Benefits list. We decipher the medical aid jargon in plain English so that you are not as confused A good medical aid broker can save you R1,000s a year – and prevent many admin headaches. Determining when you can change your medical plan depends on whether you want to stay with the same scheme or not. All Rights Reserved.Unlimited private hospital cover in the Smart Hospital Network.Unlimited Smart Network GP consultations, with a R100 payment for each consultation One eye test at a network optometrist, with a R100 payment for the test.