Overview
From time to time, there are viruses or diseases that affect world health and resulting in public health emergencies. Each outbreak is closely monitored by the World Health Organization (WHO) and depending on the severity and spread, declared as a pandemic that places the global population’s health at risk.
We recognise the importance of being responsive to these public health emergencies. Through careful benefit design and in support of public health initiatives aimed at containing and mitigating the spread of such outbreak diseases, our members have access to supportive benefits during the outbreak period. The outbreak is actively monitored by a dedicated team within Discovery Health that closely assesses the evolution and progression of such outbreaks. Having a timely and effective response to global epidemics helps to improve the health outcomes for our members.
Cover is subject to the Scheme’s preferred providers (where applicable), protocols and the treatment meeting the Scheme’s entry criteria and guidelines.
Any recommended treatment and healthcare services that are not included in the basket of care are covered according to the benefits available on your chosen health plan or in accordance with Prescribed Minimum Benefits (PMBs) where applicable. Please refer to the Council for Medical Schemes (CMS) website
www.medicalschemes.co.za for PMB definitions, details and a list of all PMB conditions.
Discovery Health Medical Scheme health plans are structured in such a way as to maximise cover no matter which health plan a member chooses. Some health plans cost more but offer more comprehensive benefits while others have lower contributions with fewer benefits. Regardless of this, all our plans cover more than just the minimum benefits required by law.
This document provides information about the Prescribed Minimum Benefits (PMBs) basket of care for treatment of acute COVID-19 and long COVID as part of the WHO Global Outbreak Benefit. The WHO Global Outbreak Benefit provides cover for approved global disease outbreaks recognised by the World Health Organization (WHO) such as COVID-19. This benefit provides access to a defined basket of care per disease outbreak, which includes cover for the administration of vaccines, where applicable, and relevant out-of-hospital treatment.
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