There is no overall hospital limit for the year on any of the plans.
However, there are limits to how much you can claim for some treatments.
If you need to be admitted to hospital
All plans offer cover for hospital stays.
The Discovery Health Medical Scheme is an independent non-profit entity governed by the Medical Schemes Act, and regulated by the Council for Medical Schemes. It is administered by a separate company, Discovery Health (Pty) Ltd, an authorised financial services provider.
Got itHowever, there are limits to how much you can claim for some treatments.
All plans offer cover for hospital stays.
In an emergency you can go straight to hospital. Alternatively, medically equipped transport can be arranged by calling Discovery 911 on 0860 999 911.
When you know you are going to hospital for a planned admission, you need to tell us beforehand. You must preauthorise your admission to hospital at least 48 hours before you go in.
There is no overall limit for hospital cover. On the Delta and Coastal options you will be covered at any hospital in our network, all other plan options have cover at any private hospital.
You have cover for planned stays in hospital.
There is no overall limit for hospital cover on the Core plans. On the Delta and Coastal options you will be covered at any hospital in our network, all other plan options have cover at any private hospital.
You have cover for planned stays in hospital.
Unlimited private cover in our Smart Hospital Network.
You have cover for planned stays in hospitals in the Smart Hospital Network.
Smart networkUnlimited hospital cover in our KeyCare hospital networks.
You have cover for planned stays in hospitals in the KeyCare Network.
Keycare networkYou get full cover for specialists who we have a payment arrangement with and up to 300% of the Discovery Health Rate, the highest cover, for other specialists.
Full cover in hospital for specialists who we have a payment arrangement with, and up to 200% of the Discovery Health Rate (DHR) on Classic plans, and up to 100% of the DHR on Essential plans for other healthcare professionals.
Full cover in hospital for specialists who we have a payment arrangement with, and up to 200% of the Discovery Health Rate (DHR) on Classic plans, and up to 100% of the DHR on Essential and Coastal plans for other healthcare professionals.
Guaranteed full cover in hospital for specialists on the KeyCare network, and up to 100% of the Discovery Health Rate (DHR) for other healthcare professionals.