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Above Threshold Benefit (ATB)
The Above Threshold Benefit (ATB) gives you extra cover when your claims add up to a set amount called the Annual Threshold, if you are on an Executive, Comprehensive or Priority plan. Once all the claims you have sent to us add up to the Annual ...
Summit Plan 2024
Focus on the Summit Option The Summit Option includes cover for hospitalisation at any private hospital. There is no overall annual limit for hospitalisation. Extensive day-to-day and chronic benefits are available from any provider. If you need more ...
Additional Disease List (ADL)
Once approved on the Chronic Illness Benefit (CIB), you have cover for medicine for additional diseases that we cover over and above the 27 chronic conditions if you're on our Executive or Comprehensive plans. The conditions are: Ankylosing ...
Annual Threshold
We add up the Discovery Health Rate of the day-to-day claims you send us. When your day-to-day claims reach a fixed rand amount - what we call the Annual Threshold - we pay claims from the Above Threshold Benefit, if you are on an Executive, ...
Chronic Disease List (CDL)
The Chronic Disease List (CDL) is a defined list of chronic conditions we cover according to the Prescribed Minimum Benefits (PMBs). The conditions are: Addison's disease, asthma, bipolar mood disorder, bronchiectasis, cardiac failure, ...