// About Discovery’s Plans:
Discovery Medical Scheme has 18 regular plans in 5 series (Comprehensive, Priority, Smart, Saver and Core) and 4 capitated plans (Keycare Start, Keycare Start Regional, Keycare Core and Keycare Plus). All these are listed below, in order of price. Click on the plan name to see full benefits for that plan.
Note:
- Classic Plans pay specialists at 200% scheme rate.
- Essential plans pay specialists at 100% scheme rate.
- Delta Plans require you to use a Network for overnight procedures. Almost all plans require network hospitals for day procedures.
- Coastal Plans limit you to usage of hospitals in coastal provinces only, unless an emergency
- Capitated Plans require usage of strict networks. Premiums are adjusted to your income level.
// Comprehensive Series:
These plans may have a savings account, a self payment gap and a generous Above Threshold Benefit (ATB). The Executive Plan has an unlimited ATB, which makes it the top plan for Discovery. (Read about ATBs here).
Discovery Classic Smart Comprehensive:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 7,945 | R 7,337 | R 1,855 | No | No | R R30,000 | View Full Plan |
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Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Classic Comprehensive:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 9,298 | R 8,793 | R 1,856 | R 27,876 | No | R R35,000 | Unlimited | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Executive:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 11,430 | R 11,430 | R 2,185 | R 34,284 | No | Unlimited | Unlimited | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
// Priority Series:
Discovery Classic Priority:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 5,796 | R 4,571 | R 2,318 | R 17,376 | No | R R19,370 | Unlimited | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Essential Priority:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 4,981 | R 3,917 | R 1,989 | R 8,964 | No | R R19,370 | Unlimited | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
// Saver Series:
Discovery Coastal Saver:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 3,797 | R 2,855 | R 1,533 | R 6,828 | No | No | Coastal | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Classic Saver:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 4,535 | R 3,577 | R 1,817 | R 10,872 | No | No | Unlimited | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Classic Delta Saver:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 3,624 | R 2,863 | R 1,455 | R 8,688 | No | No | Network | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Essential Saver:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 3,634 | R 2,725 | R 1,455 | R 4,356 | No | No | Unlimited | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Essential Delta Saver:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 2,898 | R 2,187 | R 1,163 | R 3,468 | No | No | Network | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
// Core Series:
Discovery Classic Core:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 3,652 | R 2,882 | R 1,461 | No | No | No | Unlimited | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Classic Delta Core:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 2,923 | R 2,305 | R 1,169 | No | No | No | Network | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Essential Core:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 3,138 | R 2,354 | R 1,260 | No | No | No | Unlimited | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Essential Delta Core:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 2,507 | R 1,887 | R 1,006 | No | No | No | Network | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Coastal Core:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 3,011 | R 2,259 | R 1,196 | No | No | No | Coastal | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
// Smart Series:
Discovery Classic Smart:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 2,822 | R 2,227 | R 1,127 | No | No | No | Network | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Essential Smart:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 2,021 | R 2,021 | R 2,021 | No | No | No | Network | View Full Plan |
Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Active Smart:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 1,350 | R 1,350 | R 1,350 | No | No | No | View Full Plan |
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Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Discovery Classic Smart Comprehensive:
Year | Main | Adult | Child | Savings (Main) | Fund (Main) | ATB (Main) | Hospitals | |
2025 | R 7,945 | R 7,337 | R 1,855 | No | No | R R30,000 | View Full Plan |
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Child rates: Under 21yrs. Only pay for 3 children. ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached. |
Capitated Plans, by price
Below is a list of this scheme's capitated medical aid plans. With these plans, the less you make the less you pay for your medical aid. The benefits stay the same for all the income levels, only the price changes. We list all the capitated plans and explain them in more detail here.Income Bracket: | Main: | Adult: | Child: | ||
KeyCare Core A | R0-R9,900 | R 1,381 | R 1,381 | R 361 |
View Full Plan
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KeyCare Core B | R9,901-R15,990 | R 1,723 | R 1,723 | R 427 |
View Full Plan
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KeyCare Core C | R15,991+ | R 2,636 | R 2,636 | R 598 |
View Full Plan
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KeyCare Plus A | R0-R9,900 | R 1,817 | R 1,817 | R 661 |
View Full Plan
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KeyCare Plus B | R9,901-R15,990 | R 2,497 | R 2,497 | R 704 |
View Full Plan
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KeyCare Plus C | R15,991+ | R 3,687 | R 3,687 | R 986 |
View Full Plan
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KeyCare Start A | R0-R10,550 | R 1,331 | R 1,331 | R 811 |
View Full Plan
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KeyCare Start B | R10,551-R15,950 | R 1,952 | R 1,952 | R 878 |
View Full Plan
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KeyCare Start C | R15,951-R24,250 | R 3,063 | R 3,063 | R 919 |
View Full Plan
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KeyCare Start D | R24,251+ | R 3,488 | R 3,488 | R 949 |
View Full Plan
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KeyCare Start Regional A | R0-R10,100 | R 1,184 | R 1,184 | R 713 |
View Full Plan
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KeyCare Start Regional B | R10,101-R15,250 | R 1,790 | R 1,790 | R 805 |
View Full Plan
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KeyCare Start Regional C | R15,251+ | R 2,790 | R 2,790 | R 854 |
View Full Plan
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KeyCare Start Regional D | R 3,178 | R 3,178 | R 890 |
View Full Plan
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