Discovery Health Medical Scheme

IntroductionStatsScheme Options

About Discovery Health Medical Aid Scheme

Discovery Health LogoDiscovery Health is South Africa’s best known healthcare funder with more than 1.3 million principal members they are the largest medical aid scheme in the country. Discovery Health complies with every aspect of medical scheme governance including the King lll Code for corporate governance.

The medical scheme and all its members are presided over by an independent board of trustees. The trustees work tirelessly to improve service delivery while maintaining sustainability. To ensure service excellence the board of trustees are subjected to annual reviews that are intended to strengthen administration.

Discovery Health takes great pride in being the only medical scheme in the country to achieve yet again the highest credit rating of AA+ from the Global Credit Rating. Discovery Health now has 12 consecutive AA+ ratings.

The schemes financial strength and stability is further enforced by their reserve funds which currently stand at R8.2 billion.

Discovery Health’s Mission

They are confident in their ability to generate necessary change in the healthcare market by providing members with quality services and healthcare products that adhere to the public’s fundamental healthcare needs.

Discovery Health’s Vision

The scheme has one vision, to make people healthier and enhance their lifestyle through comprehensive healthcare services.

Scheme Values

The medical aid scheme relies on well established values to guide them in providing comprehensive services.

Discovery Health has eight core values:

  • Good business judgement
  • Optimism and Innovative practices
  • Exceptional Staff
  • Bringing out the best in people
  • Fairness integrity and honesty
  • Smart leadership
  • Urgency, drive and tenacity
  • The ability to amaze clients

Scheme Benefits

Apart from overall benefit provided on their healthcare options Discovery members also have access to Discovery Vitality benefits. Discovery Vitality is the leading wellness program in the world. Discovery members on the Vitality program are rewarded for good health behaviour and practises.

General Exclusions

Potential members need to pay close attention to these exclusions to ensure they receive the healthcare they require.

Exclusions:

  • Obesity
  • Infertility
  • Frail care
  • Procedures and treatments relating to cosmetic surgery
  • Procedures and treatments relating to the enlargement or reduction of breasts
  • Illnesses or injuries that have been self inflicted
  • Wilfully partaking in acts of war, civil unrest, rioting, terrorism and or rebellion
  • Search and rescue operations
  • Treatments and practises that are either unregistered and or unproven

Discovery Health Stats

2018 (current year)

Total Scheme Options (2018): 23

2017

Total Principal Members: 1 323 427
Total Beneficiaries: 2 777 946
Average Family Size: 2.1
Solvency Ratio: 27.44%

2016

Total Principal Members: 1 297 466
Total Beneficiaries: 2 735 191
Average Family Size: 2.11
Solvency Ratio: 26.33%

205

Total Principal Members: 1 267 877
Total Beneficiaries: 2 691 852
Average Family Size: 2.12
Solvency Ratio: 25.98%