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 - R10950
Main Member R1436
Adult Dependent R1436
Child R875
Income Band R10951-R16 550
Main Member R2107
Adult Dependent R2107
Child R947
Income Band R16551 - R25150
Main Member R3306
Adult Dependent R3306
Child R992
Income Band R25151+
Main Member R3765
Adult Dependent R3765
Child R1024
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
R3,250
Adult Dependent
R2,438
Child
R1,291
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
R2,161
Adult Dependent
R2,161
Child
R2,161
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
R4,098
Adult Dependent
R3,082
Child
R1,648
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

Discovery Essential Delta Saver - Network Hospital Plan With Savings

Premium Main Member
R3,099
Adult Dependent
R2,339
Child
R1,243
Savings Main Member
R3,468
Adult Dependent
R2,616
Child
R1,392
Benefits 100% scheme rate in-hospital: Any private hospital
Oncology: R250 000 per member, therafter 20% co-payment
Cover for 27 chronic diseases: medication from DSP
Must use a network hospital for any planned procedure or a R11 100 upfront payment
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 Classic Comprehensive – Day-to-day Hospital Plan

Premium Main Member
R10,037
Adult Dependent
R9,492
Child
R2,002
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 - R10250
Main Member R1961
Adult Dependent R1961
Chld R713
Income Band R10251 - R16600
Main Member R2695
Adult Dependent R2695
Chld R760
Income Band R16601+
Main Member R3980
Adult Dependent R3980
Chld R1064
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
R3,356
Adult Dependent
R2,517
Child
R1,347
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
R3,018
Adult Dependent
R2,381
Child
R1,205
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
R3,886
Adult Dependent
R2,914
Child
R1,556
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
R4,850
Adult Dependent
R3,825
Child
R1,943
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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For finer details and/or pricing on any of the above Discovery Health Comparisons, just fill in our Medical Aid Quote Request form and we will get back to you promptly.

Discovery Application Form

If you need help applying, why not make use of our Medical Aid Application Form Help Page, and one of our consultants will contact you to assist.

Telephonic Help

Finally, we invite you to contact us on +27 21 712 8866 at any point in your decision making process for further information on the Discovery Health Comparisons. Discovery Health Plans.

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