2019 Discovery Health Medical Aid Fees

Date: 7 November 2019

   

Discovery Health Medical Scheme is the largest open medical scheme in South Africa, covering nearly 2.8 million beneficiaries at 31 December 2017, and with an open medical scheme market share of approximately 56%.

According to Discovery, it estimates total medical inflation for 2018 at between 11.2% and 12.2%, with the variance due to utilisation trends in different health plan options.

However, risk management by Discovery Health and the ongoing positive impact of the Vitality wellness programme on members’ health, will reduce medical inflation by 2%, resulting in contribution increases that are within the corridor of 3% to 4% above CPI after allowing for the required adjustment for VAT,” it said.

With CPI sitting at 5.1% in July, a CPI + 4% increase puts the industry range at 9.1%.

The new prices for all 27 of Discovery’s plans for 2019 are detailed in the tables below, along with how much they have increased.

The tables show the total contribution (including for medical saving, where applicable) for the main member.

Executive

Plan 2018 2019 % change
Executive Plan R5 950 R6 541 9.9%

Comprehensive

Plan 2018 2019 % change
Classic Comprehensive R4 882 R5 368 10.0%
Classic Delta Comprehensive R4 398 R4 834 9.9%
Classic Comprehensive Zero MSA R3 662 R4 026 9.9%
Essential Comprehensive R4 102 R4 509 9.9%
Essential Delta Comprehensive R3 694 R4 062 10.0%

Priority

Plan 2018 2019 % change
Classic Priority R3 214 R3 501 8.9%
Essential Priority R2 763 R3 010 8.9%

Saver

Plan 2018 2019 % change
Classic Saver R2 773 R3 021 8.9%
Classic Delta Saver R2 214 R2 412 8.9%
Essential Saver R2 203 R2 400 8.9%
Essential Delta Saver R1 758 R1 915 8.9%
Coastal Saver R2 160 R2 373 9.9%

Smart

Plan 2018 2019 % change
Classic Smart R1 647 R1 794 8.9%
Essential Smart R1 180 R1 285 8.9%

Core

Plan 2018 2019 % change
Classic Core R2 064 R2 248 8.9%
Classic Delta Core R1 652 R1 799 8.9%
Essential Core R1 773 R1 931 8.9%
Essential Delta Core R1 417 R1 543 8.9%
Coastal Core R1 610 R1 770 9.9%

KeyCare

The KeyCare Plus ranges have changed from R0 to R12,200 and R12,201+, to R0 to R13,050 and R13,051+, while the Access product has been dropped and a Start product has been added.

Therefore no price increases are shown below, just the new fees for 2019.

Plan 2019
KeyCare Plus 0 – 13 050 R1 456
KeyCare Plus 13 051+ R2 249
KeyCare Core 0 – 13 050 R1 038
KeyCare Core 13 051+ R1 661
KeyCare Start 0 – 9 150 R839
KeyCare Start 9 151 – 13 050 R1 412
KeyCare Start 13 051+ R2 198

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