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 Threshold, we pay the rest of your claims from the Above Threshold Benefit (ATB), at the Discovery Health Rate (DHR) or a portion of it. The Executive and Comprehensive plans have an unlimited Above Threshold Benefit (ATB), and the Priority plans have a limited ATB.
Related Articles
Optical Benefit
Overview The Optometry Benefit provides cover for eye-care. Your cover for eye-care depends on the health plan you choose. Certain optometry-related healthcare services may be unlimited, such as eye tests, and other services, such as cover for ...
External Medical Items Benefit
Overview This document tells you more about how the External Medical Items (EMI) Benefit works and how to apply for additional cover if you have a severe, complex condition that requires additional External Medical Items (EMI).
Trauma Recovery Extender Benefit
Overveiw The attached document tells you about the Trauma Recovery Extender Benefit. Read further to understand how the benefit works, which healthcare services are covered and details about the criteria that apply to qualify for the benefit.
Advanced Illness Benefit
Overview Available on all plans, the Advanced Illness Benefit (AIB) provides members who have an illness in an advanced stage access to a comprehensive palliative care programme. This programme offers unlimited cover for approved care in the comfort ...
International Travel Benefit
Overview The cover comprises of: • International Travel Benefit; and • Cover for non-emergency claims (elective treatment) and claims for treatment received abroad outside what is covered by the International Travel Benefit.