The Executive Plan 2026

The Executive Plan 2026

Here's what you get:

  • Unlimited private hospital cover in any facility approved by the Scheme including private ward cover of up to R2,700 each day.
  • Guaranteed full cover in hospital for specialists who we have a payment arrangement with, and up to 300% of the Discovery Health Rate (DHR) for other specialists.
  • Full cover for chronic medicine on our medicine list for all Chronic Disease List (CDL) conditions, and additional conditions on our Additional Disease List (ADL), as well as cover for a defined list of the latest treatments through the Specialised Medicine and Technology Benefit.
  • Cover for up to two cycles of assisted reproductive therapy (ART) if you meet the scheme's benefit and clinical entry criteria. We will fund 75% of the treatment up to an overall limit of R135 000 per person per year.
  • Extensive benefits for maternity and early childhood that cover certain healthcare services before and after birth.
  • Additional cover through the Day-to-day Extender Benefit (DEB) for GP consultation fees and kids casualty visits when your Medical Savings Account (MSA) runs out.
  • The highest savings account and an unlimited Above Threshold Benefit (ATB) for your day-to-day healthcare needs.
  • The Overseas Treatment Benefit gives you cover for treatment not available in South Africa. Access to full cover for second opinion services. Cover of up to US$1 million per person for medical emergencies when travelling outside of South Africa.

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