Discovery health – Benefit update and new plans for 2019

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Discovery Health have announced their rates and benefits for 2019. This is a summary of the key points.

Changing your plan for 2019

If you are thinking of changing your plan, or you have any questions regarding the 2019 benefits, we can help you. Please contact Zizipho, zizipho@fpm.co.za 011 778 9364 or Diane, diane@fpm.co.za 011 778 9356

The latest date for plan changes by e-mail or telephonically is 14 December, 2018, and via the website 31 December, 2018.

Rate Increase

The rate increase is:

  • 9.9% for the Executive, Comprehensive, Priority and Coastal plans
  • 8.95 for the Saver, Smart and Core plans
  • 6.9% average increase for the KeyCare Plans

This increase is in line with other medical aids and includes 1% for the increase in VAT.

New Plan

A new KeyCare plan – called KeyCare Start – has been launched for anyone with income under R9,150 pm at a monthly premium rate of Member R839, Adult Dependent R839 and child R505.

This plan helps to maintain affordability for access to quality healthcare for people with a lower income.

Medical Aid Benefit Changes

Oncology Care Programme – will be enhanced for members with cancer, providing unlimited cover for defined treatment and access to innovative oncological medicines.

New care programmes – for members. These are Cardio Care, Mental Health Care and Diabetes Care. These programmes are accessed through the Premier Plus GP Network and are funded from risk.

New Discovery Day Surgery Network – for a defined list of procedures carried out in this network, members will be covered in full. If carried out outside the network there will be a co-payment or deductible.

Med-Express – introduced as the Designated Service Provider from 1 April, 2019 for medicine on the Priority and Saver plans. Dis-Chem and Clicks are included in the Med-Express network.

Discovery Digital Healthcare

  • Find A Provider has been enhanced to make it easier for you to find a network provider nearest to you.
  • Vitality Rewards has been enhanced to include points if you complete activities relating to your health.
  • Medicine Tracker – this allows you to add medicines and set reminders and prompts.

Vitality Benefit Changes

  • Vitality Active Rewards has been updated and points can now be accumulated and spent on a variety of items.
  • Personalised health goals can be set.
  • Healthy foods now includes a 25% cash discount on selected take away foods from Col’Cacchio, Ocean Basket, Doppio Zero, Nandos, Uber Eats and Woolworths.

This article is a general information sheet and should not be used or relied on as professional advice. No liability can be accepted for any errors or omissions nor for any loss or damage arising from reliance upon any information herein. Always contact your financial adviser for specific and detailed advice. Errors and omissions excepted. (E&OE)