This page has information on: Costs, Maternity, Oncology, Mental Health for Discovery Executive
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Monthly Costs (2025)
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
Cancer/ Oncology benefits (2025):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
Maternity benefits (2025):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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Assume scheme pays all these costs, unless otherwise stated |
- 300% scheme rate
- Up to R2,600 per day for private ward
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- Consults: 12 consults with GP, Gynae or midwife
- Nuchal translucency or Non-Invasive Prenatal Test if you meet the criteria
- Devices: Up to R6,000 for registered devices (breast pumps, etc) with 25% co-payment
- Antenatal classes: R2,400 per family, from day-to-day benefit
- Certain blood tests
- Five antenatal or postnatal classes or consultations with a registered nurse up until two years after you have given birth
- After birth:
- One six week post-birth consult with midwife, GP or gynae
- One nutritional assessment
- Two mental health consults
- Breastfeeding consultation
- Savings on stem cell banking
- Assisted Reproductive Therapy (ART): possible cover for one or two annual cycles of ART. If you are on the oncology program, you might have access to cryopreservation and egg and sperm storage for up to five years. R135,000 per person. and a minimum 25% co-payment.
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
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Mental Health benefits (2025):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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Assume scheme pays all these costs, unless otherwise stated |
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Main Member: |
Adult: |
Child: |
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- Major affective disorders, anorexia and bulimia: 21 days for admissions or 15 out-of-hospital consultations
- Attempted suicide or detoxification: 3 days admission
- Other mental health admissions: 21 days in-hospital
- Alcohol and drug rehab: 21 days in-hospital
- All admissions are covered in full at a network facility, or at 80% scheme rate at a non-network facility
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- Major affective disorders, anorexia and bulimia: 21 days for admissions or 15 out-of-hospital consultations
- Acute stress disorder accompanied by recent significant trauma: 12 out-of-hospital consultations
- Otherwise, paid from day-to-day benefit. Claims for psychologists and social workers fall into the supplementary benefit ie:
- Limited to:
- Main Member= R30,850
- M+1= R37,100
- M+2= R43,400
- M3+= R52,080
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- Traumatic event claims: 6 counselling sessions per person per year, for the year in which the trauma event occurred and the year after
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- PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness.
- DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
- Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Discovery plans, with costs and brief summary.
Find all other open medical aid plans here.
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