Discovery Health Comparisons – 13 Medical Aid Plans Compared

Discovery Health Comparisons – 2026 Medical Aid Plans

Discovery Health Comparisons: Discovery Health is by far the largest medical aid scheme in South Africa and offers health plans to suit every budget.

We have laid out all the Discovery Medical Aid Plans in easy to understand tables. Compare the latest medical aid plans 2026 updates in the tables below.

Please feel free to use our convenient quote form provided. Our consultants will assist you in analysing your healthcare needs and supply easy to understand Medical Aid Comparisons and Quotes.

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Discovery Health PlansCompare 13 Medical Aid Plans – 2026 Updates

Discovery Keycare Start - Network Plan

Premium
Income Band R0 - R10500
Main Member R1331
Adult Dependent R1331
Child R811
Income Band R10551-R15950
Main Member R1952
Adult Dependent R1982
Child R878
Income Band R15951 - R24250
Main Member R3063
Adult Dependent R3063
Child R919
Income Band R24251+
Main Member R3488
Adult Dependent R3488
Child R949
Benefits 100% scheme rate in-hospital - Keycare Start hospitals to be used
Network hospitals, GP's and Specialists to be used
Covers 27 chronic diseases: subject to formulary
Chronic cover state hospital only: Dialysis state only.
Exclusions on certain procedures apply
Oncology ( State hospital) PMB
MRI/CT scans: out of hospital paid up to the specialist benefit
Personal Health Pathways & Personal HealthFund

Discovery Coastal Core - Hospital Plan

Premium Main Member
R3,011
Adult Dependent
R2,259
Child
R1,196
Benefits 100% scheme rate in-hospital - Coastal hospitals
R7250 co-payment for use of a non network day hospital
Specialists who have an arrangement with Discovery covered in full
Oncology: R250 00 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP
MRI/CT scans: Unlimited if part of hospital procedure
No day to day benefit
Personal Health Pathways & Personal HealthFund

Discovery Essential Smart - Network Plan

Premium Main Member
R2,021
Adult Dependent
R2,021
Child
R2,021
Benefits 100% scheme rate in-hospital - Smart hospitals
Specialists who have an arrangement with Discovery covered in full
Smart hospitals to be used: R12 650 upfront payment for use of non DSP for planned procedures
Dialysis: State only
Oncology: R250 000 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP
MRI/CT scans: Unlimited if part of hospital procedure: No cover for back and neck
GP visits: Unlimited with network provider and a R130 co-payment per visit
Specialists for member's account: some limited dentistry and over the counter medication cover
Personal Health Pathways & Personal HealthFund

Discovery Coastal Saver - Hospital Network Plan With Savings

Premium Main Member
R3,797
Adult Dependent
R2,855
Child
R1,533
Savings Main Member
R6,828
Adult Dependent
R5,136
Child
R2,760
Benefits 100% scheme rate in-hospital - Coastal Hospitals
Specialists who have an arrangement with Discovery covered in full
Oncology: R250 000 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP. Must use a network GP to manage or co-payments
Day to day expenses paid from savings.
MRI/CT scans: unlimited if part of hospital procedure.
MRI/CT scans: Out of hospital: R4000 from savings, balance hospital benefit: certain limitations
Personal Health Pathways & Personal HealthFund
Column 1 Column 2 Column 3 Column 4

ESSENTIAL DELTA SAVER - NETWORK HOSPITAL PLAN WITH SAVINGS

Contributions/Savings
Monthly Contributions Savings
Main Member R2 898 R3 468 ---
Spouse/Adult dependent R2 187 R2 616 ---
Child (Max 3) R1 163 R1 392 Per child ---
Benefits
100% scheme rate in-hospital.
Delta hospitals to be used.
R10 700 upfront payment for planned procedure in non-network hospital.
Specialists who have an arrangement with Discovery covered in full.
Oncology: R250 00 per member, therafter 20% co-payment.
Cover for 27 chronic diseases: Medication from DSP. Must use a network GP to manage or a co-payment applies.
Day to Day expenses from savings.
MRI/CT scans: unlimited if part of hospital procedure.
MRI/CT scans: Out of hospital: R3850 from savings, balance hospital benefit: certain limitations. --- --- ---
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Column 1 Column 2 Column 3 Column 4

ESSENTIAL DELTA SAVER - NETWORK HOSPITAL PLAN WITH SAVINGS

Contributions/Savings
Monthly Contributions * Savings **
Main Member R2 898 * R2 574 R3 468 ** ---
Spouse/Adult dependent R2 187 * R1 943 R2 616 ** ---
Child (Max 3) R1 072 * R1 033 R1 392 (P/Child) ** ---
Benefits
100% scheme rate in-hospital.
Delta hospitals to be used.
R10 700 upfront payment for planned procedure in non-network hospital.
Specialists who have an arrangement with Discovery covered in full.
Oncology: R250 00 per member, therafter 20% co-payment.
Cover for 27 chronic diseases: Medication from DSP. Must use a network GP to manage or a co-payment applies.
Day to Day expenses from savings.
MRI/CT scans: unlimited if part of hospital procedure.
MRI/CT scans: Out of hospital: R3850 from savings, balance hospital benefit: certain limitations. --- --- ---

Discovery Classic Comprehensive – Day-to-day Hospital Plan

Premium Main Member
R9,298
Adult Dependent
R8,793
Child
R1,856
Savings Main Member
R10,872
Adult Dependent
R8,580
Child
R4,344
Annual Threshold Main Member
R34,810
Adult Dependent
R34,810
Child
R6,650
Above Threshold Benefit Main Member
R36,290
Adult Dependent
R36,290
Child
R8,810
Benefits 200% scheme rate in-hospital
Specialists who have an agreement with Discovery are paid in full
Oncology: R500 000 thereafter 20% co-payment
Extended Oncology ahd Innovation Oncology benefit
MRI/CT scans: unlimited if part of hospital procedure.
MRI/CT scans: Out of hospital: R4000 from savings, balance hospital benefit: certain limitations
27 chronic disease conditions, 22 additional disease conditions.Must nominate a network GP to manage or co-payment applies
Specialised medicine and technology benefit: R200 000 pp per annum
Acute medication from day to day, therafter from above threshold benefit: Limits apply

Discovery KeyCare Plus - GP Network Plan

Premium
Income Band R0 - R9900
Main Member R1817
Adult Dependent R1817
Child R661
Income Band R9901 - R15990
Main Member R2497
Adult Dependent R2497
Child R704
Income Band R15991+
Main Member R3687
Adult Dependent R3687
Child R986
Benefits 100% scheme rate in-hospital
Network hospitals, GP's and Specialists to be used
Covers 27 chronic diseases, Medication from DSP and formulary applies
Dialysis:Full cover through network providers
Exclusions on certain procedures apply
Oncology: PMB
MRI/CT scans: unlimited if part of hospital procedure
MRI/CT scans: Out of hospital paid up to the specialist benefit.

Discovery Essential Core - Hospital Plan Only

Premium Main Member
R3,138
Adult Dependent
R2,354
Child
R1,260
Benefits 100% scheme rate in-hospital - any private hospital
R7250 co-payment for use of a non network day hospital
Specialists who have an arrangement with Discovery covered in full
Oncology: R250 00 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP
MRI/CT scans: Unlimited if part of hospital procedure
No day to day benefit
Personal Health Pathways & Personal HealthFund

Discovery Classic Smart - Network Plan

Premium Main Member
R2,822
Adult Dependent
R2,227
Child
R1,127
Benefits 200% scheme rate in-hospital:Smart hospitals
Oncology: R250 000 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP
R12 650 upfront payment for usage of a non network hospital for a planned procedure.
Cover for 27 chronic diseases: medication from DSP
MRI/CT scans: Unlimited if part of hospital procedure:
MRI/CT scans: Out of hospital: R4000 paid by member, balance hospital benefit: certain limitations
GP visits: Unlimited with network provider and a R75 co-payment per visit
Specialists for sports related injuries only: some limited dentistry and medicine cover
Personal Health Pathways & Personal HealthFund

Discovery Essential Saver - Hospital Network Plan With Savings

Premium Main Member
R3,634
Adult Dependent
R2,725
Child
R1,455
Savings Main Member
R4,356
Adult Dependent
R3,264
Child
R1,740
Benefits 100% scheme rate in-hospital - Any hospital
Specialists who have an arrangement with Discovery covered in full
Oncology: R250 000 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP. Must use a network GP to manage or co-payments
Day to day expenses paid from savings.
MRI/CT scans: unlimited if part of hospital procedure.
MRI/CT scans: Out of hospital: R4000 from savings, balance hospital benefit: certain limitations
Personal Health Pathways & Personal HealthFund

Discovery Classic Saver - Hospital Plan With Savings

Premium Main Member
R4,535
Adult Dependent
R3,577
Child
R1,817
Savings Main Member
R10,872
Adult Dependent
R8,580
Child
R4,344
Benefits 200% scheme rate in-hospital: Any private hospital
Oncology: R250 000 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP
Cover for 27 chronic diseases: medication from DSP
MRI/CT scans: Unlimited if part of hospital procedure:
MRI/CT scans: Out of hospital: R4000 paid by member, balance hospital benefit: certain limitations
Personal Health Pathways & Personal HealthFund

Discovery Active Smart - Network Plan

Premium Main Member
R1,350
Adult Dependent
R1,350
Child
R1,350
Benefits 100% scheme rate in-hospital - Networks through Ask Discovery on the app
Specialists who have an arrangement with Discovery covered in full
Smart hospitals to be used: R15 300 upfront payment for use of non DSP for planned procedures
R7750 upfront payment for admittance for elective non-emergency admissions
Oncology: PMB only Dialysis State only.
Cover for 27 chronic diseases: medication from DSP
MRI/CT scans: Unlimited if part of hospital procedure: No cover for back and neck
GP visits: Unlimited with network provider and a R125 co-payment per visit
No specialist cover, no acute medication, over the counter limited to R555 per annum
No day to day maternity benefit - subject to day to day benefits
Personal Health Pathways & Personal HealthFund

Discovery Classic Smart Saver - Day-to-day Network Hospital Plan With Savings

Premium Main Member
R3,350
Adult Dependent
R2,840
Child
R1,400
Savings Main Member
R2,820
Adult Dependent
R2,388
Child
R1,176
Benefits 200% scheme rate in-hospital: Smart hospitals
Oncology: R250 000 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP
R12 650 upfront payment for usage of a non network hospital for a planned procedure.
Cover for 27 chronic diseases: medication from DSP
MRI/CT scans: Unlimited if part of hospital procedure:
MRI/CT scans: Out of hospital: R4000 paid by member, balance hospital benefit: certain limitations
GP visits: Unlimited with network provider and a R75 co-payment per visit
Specialists for sports related injuries only
Acute medication R3300 per family pa, over the counter R905 per family pa
Personal Health Pathways & Personal HealthFund

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