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Product Information Brochure

The Discovery Health Medical Scheme for 2024 includes contribution increases ranging from 0% to 12.9% to ensure affordability and sustainability. New benefits such as the Discovery Health app and Personal Health Pathways will enhance members' healthcare experiences, providing personalized health management and access to virtual care services. The introduction of a Home-based Hospital Network will also facilitate at-home treatment for eligible conditions, improving overall healthcare outcomes for members.

Uploaded by

Kerwin Tyler
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
44 views22 pages

Product Information Brochure

The Discovery Health Medical Scheme for 2024 includes contribution increases ranging from 0% to 12.9% to ensure affordability and sustainability. New benefits such as the Discovery Health app and Personal Health Pathways will enhance members' healthcare experiences, providing personalized health management and access to virtual care services. The introduction of a Home-based Hospital Network will also facilitate at-home treatment for eligible conditions, improving overall healthcare outcomes for members.

Uploaded by

Kerwin Tyler
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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20 PRODUCT

INFORMATION
24 BROCHURE

PRODUCT
INFORMATION BENEFIT AND
CONTRIBUTION
UPDATES FOR 2024

ENTER
Discovery Health Medical Scheme for 2024
ONTEN
Balancing affordability, Transforming members’ healthcare Creating personal health pathways
sustainability and value for members experience with the new Discovery for all qualifying members
in 2024 and beyond Health app In 2024, all Discovery Health Medical Scheme
Increases to contributions for 2024 will be plan Your gateway to a personalised, end-to-end members will have access to a personal health
specific and will range from 0% to 12.9%, to maintain healthcare journey. Conveniently access care and pathway that predicts the most important actions
contributions in line with expected claims experience, manage your health and health plan benefits in a they can take to improve their health.
while supporting affordability for members. single app. The new app also enables new benefits Members are encouraged to complete actions
Targeted plan and benefit updates for the for all members of Discovery Health Medical Scheme, through an intelligent, gamified experience, which
Comprehensive series and KeyCare series ensures including Virtual Urgent Care, Virtual Physical Therapy, we have personalised for every qualifying member
long-term sustainability of the benefits offered by the Mental Health Assessment Benefit and digital on the Scheme.
these plans. therapeutics for mental health.

DISCOVERY HEALTH APP


2024 CONTRIBUTION UPDATE PERSONAL HEALTH PATHWAYS
AND DIGITAL BENEFITS

GENERAL SCHEME UPDATES Both the content in this brochure and January 2024 contributions are awaiting formal approval from the Council for Medical Schemes.
In all instances, Discovery Health Medical Scheme Rules prevail.

PLAN-SPECIFIC CHANGES
TO YOUR HEALTH PLAN

COMPREHENSIVE SAVER SERIES KEYCARE SERIES


SERIES CHANGES CHANGES CHANGES

Discovery Health Medical Scheme, registration number 1125, administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes. The Discovery Health app and Personal Health Pathways are brought
to you by Discovery Health (Pty) Ltd; registration number 1997/013480/07, an authorised financialservices provider and administrator of medical schemes.
2024 Contribution
updates

2024
contribution
2024 Benefit
update

update Discovery Health


app and digital
benefits

Ensuring high-value, affordable healthcare cover in 2024 and beyond. In 2023, Discovery Health Medical Scheme
has maintained its strong financial position and continues to deliver exceptional value for you, amidst challenging
economic circumstances.

The 2024 increase in Scheme contributions is aimed at supporting you with improved affordability, ensuring you
Personal Health
continue to enjoy high-value cover, while strengthening the long-term sustainability of the Scheme. Pathways

For specific information about the 2024 contributions on each health plan series, please view the
Contribution Tables and health plan guides on our Product Information Page
2024 Contribution
updates

2024 Benefit
update

2024 general
benefit updates
Discovery Health
app and digital
benefits

Personal Health
Pathways
Simple nomination CARE COORDINATION BY A SINGLE PRIMARY CARE GP IMPROVES HEALTHCARE OUTCOMES
2024 Contribution

process with a wide Primary care GPs manage your day-to-day healthcare needs. Your primary care GP establishes your health history, does your screening
and prevention tests, coordinates specialist referrals where necessary, and makes recommendations to improve your health and wellness.
updates

network of providers This coordination of care is particularly important for the effective management of complex health conditions. This includes the more

to choose from prevalent chronic illnesses, such as diabetes and cardiovascular diseases.

01 02
Members registered for a Prescribed
Minimum Benefit chronic condition must
nominate one of the 4,600 primary care
GPs participating in the Discovery Health Navigate to Get care Confirm primary
2024 Benefit
GP Network1. Discovery Health’s extensive on the Discovery Health care GP update
GP Network ensures that quality care app If you have visited a Discovery
is conveniently available.
Click on the primary care GP Health network GP before,
option on the Get care tab. you can simply confirm the
For all members registered for an nomination of the GP.
approved chronic condition on all health
plans except the Executive Plan, to make
sure you continue to receive full payment
for your chronic illness consultations, you
can follow the simple process to nominate Discovery Health
app and digital
a primary care GP through the Discovery benefits

03 04
Health app, the Discovery call centre or
your chosen network GP.

Search for a Nominate your primary


GP in your area care provider
If you have not visited a Select the GP whom you prefer
Discovery Health network GP and confirm the nomination.
before or want to choose a We’ll let the nominated GP know
different GP, you can search for about the nomination through Personal Health
Pathways
a GP in your area. HealthID.
Subject to the network rules of your
chosen plan
Introducing the Home-based From 2024, we will introduce the Home-based Hospital Network as the designated service provider for
the Discovery Hopsital at Home programme for carefully selected low-acuity conditions for members
2024 Contribution

Hospital Network for the on KeyCare, Smart and Delta plans. The designated service providers include Discovery Home Health,
updates

Discovery Hospital at Home Mediclinic at Home and Quro Medical.

programme

CONDITIONS ELIGIBLE FOR PATIENTS ELIGIBLE FOR HOME-BASED


TREATMENT TREATMENT HOSPITAL NETWORK

2024 Benefit
If you need to be admitted for one of the following You must meet the following criteria to be eligible for With the Home-based Hospital Network, treating doctors update
conditions, the Home-based Hospital Network would treatment through the Home-based Hospital Network: can choose which network facility their patient will be
be the designated service provider for the admission. admitted to at the time of pre-authorisation.
Be an adult member (18 years or older)
This is if you meet the additional eligibility criteria.
Need hospital-level care that can be given The following home-based providers are included
in a general ward on the network:

Live within 30 kilometers of a hospital with


an emergency room (casualty unit)
Pneumonia Diabetes
Live in Cape Town, Durban, Pietermaritzburg,
Johannesburg or Pretoria
Discovery Health
Chronic Have enough family support to be safe at home Discovery Mediclinic Quro
app and digital
obstructive Deep vein
pulmonary thrombosis Have running water within the home Home at Home Medical benefits

disease Have electricity within the home Health


Approval for admissions in the Home-based Hospital

Asthma Cellulitis Network is subject to the Scheme’s clinical entry criteria,


All facilities included in the Home-based Hospital
treatment guidelines and protocols. For more details
Network provide the highest standards of care.
on the eligibility criteria and exclusion list, click here.
Urinary
Stable heart
tract
failure
infection
Personal Health
Pathways

If you and your admitting doctor opt out of home-based care in cases where you meet
the eligibility criteria, then a deductible of R5,000 will apply to your hospital admission.
Seamless Discovery Hospital at Home patient experience 2024 Contribution
updates

01 02 03
CLINICAL ASSESSMENT DOCTOR REFERRAL CARE COORDINATION AND HOME SETUP

The doctor completes Within two to four hours The home monitoring kit includes:
You go to casualty or your
the Discovery Hospital of admission, the assigned
doctor’s rooms and get
at Home application nurse meets the patient
a comprehensive clinical 2024 Benefit
form and submits the at home, where they:
assessment from a doctor. update
referral to Discovery
After the doctor determines Help you settle in and
Health.
that you are eligible for assess you.
The doctor also shares Wearable Blood pressure cuff UPS backup Smartphone with dual sim
treatment at home, the Set up the monitoring
your personalised monitoring device and pulse oximeter for charging and preloaded data
doctor recommends
treatment plan with devices.
Discovery Hospital at Home
the Discovery Hospital Tell you how the You’ll get wearable monitoring devices with batteries that last up to 20 hours and a UPS
for your treatment.
at Home care team. Discovery Hospital at battery for charging in the case of loadshedding. You also get a smartphone with roaming
capabilities, a dual sim and data to make that you stay connected at all times.
Home processes work.
All monitoring devices seamlessly integrate to the Biofourmis mobile app that is
accessible through the provided smartphone. Discovery Health
app and digital

05 04 benefits

DISCHARGE LIVE MONITORING, CLINICAL SERVICES AND CONSULTATIONS

If you are responding well to treatment and is well enough, 


Your condition is monitored 24/7 Blood samples are taken to track You receive daily visits from your
you are discharged from Discovery Hospital at Home. through a secure dashboard by your how you are responding to treatment treating Discovery Hospital at Home
treating healthcare provider, dedicated and your treating doctor receives contracted nurse and conducts daily
The Discovery Hospital at Home contracted nurse helps nurse and a team of clinicians in the a notification when the results are online consultations with your doctor
with delivery of take-home medicine and discharge ER Consulting clinical command centre. shared with the lab. to track your progress.
planning services. Personal Health
Pathways
2024 Contribution
updates

BENEFIT LIMITS, THRESHOLDS,


CO-PAYMENTS AND DEDUCTIBLES

Co-payments and deductibles will increase in line


with relevant inflation.

Thresholds for the Above Threshold Benefit on 2024 Benefit


update
Executive, Comprehensive and Priority options
CHRONIC ILLNESS BENEFIT, SPECIALISED MEDICINE will increase in line with plan-specific contribution
AND TECHNOLOGY BENEFIT AND ONCOLOGY MEDICINES increases.

On 1 January 2024, benefit limits will increase in


In 2024 the Scheme will be introducing generic and therapeutic reference pricing because of the introduction of new line with relevant inflation, with these exceptions:
medicines, fluctuations in medicine prices, and our ongoing efforts to secure favourable pricing for our members. – International Travel Benefit
Chronic medicine Specialised Medicine and Technology Benefit – Oncology Benefit thresholds

We’ll apply the yearly changes and Chronic Drug Amount From 2024, we’ll add a Therapeutic Reference Price – Overseas Treatment Benefit
updates on 1 January 2024. We’ll add generic reference for all biologic therapies across conditions covered by – Specialised Medicine and Technology Benefit
Discovery Health
app and digital
pricing, where there is a generic alternative for a Chronic on the Specialised Medicine and Technology Benefit
– Surgical and appliance items, including hip, benefits
Disease List (CDL) medicine in 2024. We pay medicine The reference price will apply to all new approvals
knee and shoulder joint prosthesis, and
on the medicine list in full. from 2024 onwards.
external medical appliances.
We pay medicine that is not on the medicine list up to Oncology
In 2024, spinal prosthesis limits will be updated
the Chronic Drug Amount (CDA) according to the chosen
In 2024, we’ll add generic reference pricing for by plan, where a non-network supplier is used.
plan type. The Discovery Health Rate (DHR) or Generic
chemotherapy and supportive oncology medicine,
Reference Price also apply, whichever is applicable.
where a generic alternative exits. We’ll pay approved
oncology medicine up to the maximum of the Discovery
Health Rate or the Generic Reference Price, whichever
applies, and depending on the Oncology Threshold. Personal Health
Pathways
2024 Contribution
updates

Discovery
Health
2024 Benefit
update

app and digital Discovery Health


app and digital

benefits
benefits

Personal Health
Pathways
Introducing the new Discovery Health app 2024 Contribution
updates

THE GATEWAY TO A PERSONALISED, END-TO-END HEALTHCARE JOURNEY

The new Discovery Health app is available to all members of Discovery Health Medical Scheme from 26 September 2023.
The app contains all past digital innovations Discovery Health introduced, while the design has been optimised for intuitive
navigation by members. The app also enables a number of new digital healthcare innovations and benefits for members and
creates a link into a connected digital health ecosystem that will continue to expand over time.

Easy access to care when you need it 2024 Benefit


Understand and manage update
connecting you to doctors and other
your health plan benefits
healthcare providers

Understand your health Seamlessly shift between


and how to improve it Discovery ecosystems

Discovery Health
app and digital
benefits

Personalised, dynamic health


pathways to improve your health

Available NOW

Try the new Discovery Health app now Personal Health

The future of healthcare. Now.


Pathways

The Discovery Health app is brought to you by Discovery Health (Pty) Ltd; registration number 1997/013480/07,
an authorised financial services provider and administrator of medical schemes.
Introducing Virtual 2024 Contribution
updates

Urgent Care SPEAK TO A DOCTOR WITHIN MINUTES,


AT THE CLICK OF A BUTTON

For the highest level of


convenience, you have access MEDICAL NEEDS ASSESSED WITHIN MINUTES
to a dedicated panel of
The quick and easy symptom checker guides you to either emergency or
emergency room doctors giving
urgent care.
immediate virtual care for
urgent medical conditions 24/7.
2024 Benefit
update
DIAGNOSIS BY A SKILLED EMERGENCY ROOM DOCTOR ON CALL 24/7

Discovery Health has partnered with experienced and highly skilled doctors
from ER Consulting who are available 24/7 to diagnose and treat you and
dispatch an ambulance if they think it is necessary.

IMMEDIATE E-SCRIPTING AND MEDICINE DELIVERY

You have immediate access to electronic prescriptions after the consultation.


Discovery Health
Your medicine can either be delivered during business hours or you can app and digital
collect it from an after-hours pharmacy. benefits

Available by selecting YOUR RISK BENEFITS PAY FOR URGENT CARE

‘Speak to a doctor now’ on We pay for appropriate urgent care consultations from your risk benefits (Hospital Benefit)
the new Discovery Health app. up to the annual benefit limit on all Discovery Health Medical Scheme plans. If the consultation
is for non-urgent care, we pay from your available day-to-day benefits.

Note: KeyCare Start Regional members must access urgent care through the KeyCare Personal Health
Online Practice Pathways

The Discovery Health app is brought to you by Discovery Health (Pty) Ltd; registration number
1997/013480/07, an authorised financial services provider and administrator of medical schemes.
Introducing Virtual 2024 Contribution
updates

Physical Therapy
Evidence-based physical ANYTIME ACCESS TO EVIDENCE-BASED
VIRTUAL PHYSICAL THERAPY
rehabilitation - done online
through video and supported by
artificial intelligence technology
CONVENIENT RECOVERY FROM ANYWHERE
- which conveniently extends
the connection between The curated exercise and rehabilitation programme prescribed by your
patients and allied healthcare healthcare provider is easily accessible from anywhere, 24/7. 2024 Benefit
update
professionals into the comfort
of the patient’s home.

AI TRACKING AND MONITORING


DELIVERED IN
PARTNERSHIP WITH Your motion is tracked during exercises to ensure correct form through
artificial intelligence camera technology.

Discovery Health
COACHING SUPPORT app and digital
benefits
You have direct access to coaching for better recovery outcomes through
virtual consultations or through the chat function.
Available via the My health
tab on the new Discovery
Health app.

We pay for Virtual Physical


Therapy from your available
Personal Health
day-to-day benefits.
Pathways

The Discovery Health app is brought to you by Discovery Health (Pty) Ltd; registration number
1997/013480/07, an authorised financial services provider and administrator of medical schemes.
Introducing the 2024 Contribution

Mental Health
updates
MENTAL HEALTH IDENTIFYING MEMBERS ACCESS TO IMMEDIATE
ASSESSMENT TO IMPROVE WHO ARE AT RISK OF RISK-FUNDED BENEFITS
Assessment YOUR AWARENESS OF
YOUR MENTAL HEALTH
DEVELOPING A MENTAL
HEALTH CONDITION
FOR DIAGNOSIS AND
REFERRAL
Benefit
Level of risk Benefits

In 2019, Discovery Health Medical


Scheme launched the Mental You can take the mental
Health Care Programme, giving LOW health assessment again
Resilience Depression 2024 Benefit
affected members risk benefits in at any time. update
addition to Prescribed Minimum
Benefit level care. Two years later,
we improved the Mental Health
You get a risk-funded virtual
Care Programme to expand
MODERATE consultation with a Premier
access, give a richer risk-funded Plus GP or psychologist.
basket-of-care and introduced the
Relapse-prevention Programme. Wellbeing Sleep

In 2024, we will increase the You get a risk-funded, pro-


Discovery Health
focus on early intervention, by active virtual coaching session app and digital
with a trained healthcare benefits
introducing the Mental Health
Assessment Benefit – a quick and SEVERE professional to discuss your

easy mental wellbeing assessment symptoms.

available to all members through You get a risk-funded virtual


the Discovery Health app. Once Anxiety Drinking or face-to-face consultation.
completed, we use the assessment
results and clinical data to evaluate
you mental health risks and give
All Discovery Health Medical We evaluate your mental health risks based on
you risk-funded interventions if Scheme members now have the results of the assessment and clinical data.
Personal Health
you are at-risk. access to a mental wellbeing Pathways
assessment via the Discovery
Health app
The Discovery Health app is brought to you by Discovery Health (Pty) Ltd; registration number
1997/013480/07, an authorised financial services provider and administrator of medical schemes.
Introducing digital 2024 Contribution
updates

therapeutics for
mental health ON-DEMAND, CLINICALLY PROVEN DIGITAL
THERAPEUTICS FOR MENTAL HEALTH

Discovery Health is partnering


with Silvercloud to deliver the first 24/7 access to engaging
modules focused on fighting
ever digital therapeutics product
depression or depression with
in South Africa that is paid for by
anxiety. 2024 Benefit
a medical scheme. The platform
Improving the Mental Health update
gives convenient access through
Care Programme
the Discovery Health app to
evidence-based mental health Personal supporters on Digital therapeutics for mental health
therapy. Eligible members have hand to guide you through the is a new, risk-funded benefit available
paid, always-on access to modules modules and make sure you through the Mental Health
focused on early intervention engage with the content. Care Programme.

against depression or depression


with anxiety.
A 24-hour self-harm and Discovery Health
suicide support service for Increasing access to mental health app and digital
benefits
those with severe mental support for all members
health risk.
The platform is also available to all members
who are not on the Mental Health Care
Available through the Programme, who are referred by a GP
Wellbeing modules for
My health tab on the new or psychologist. We will pay for this from
resilience, sleep and your available day-to-day benefits.
Discovery Health app.
coping with stress.

Personal Health
Pathways

The Discovery Health app is brought to you by Discovery Health (Pty) Ltd; registration number
1997/013480/07, an authorised financial services provider and administrator of medical schemes.
Comprehensive support along the full mental health journey 2024 Contribution
updates

The Mental Wellbeing Assessment and Silvercloud’s internet-based congnitive behavioural therapy platform
boosts the comprehensive and proactive support for mental health, from early identification to clinically relevant
treatment and ongoing management of more severe conditions.

Assessment Evaluation Intervention Management

2024 Benefit
update

Access to mental Ongoing evaluation Scheme-funded proactive Scheme-funded management


wellbeing assessments of depression risk interventions for those at risk and support

Mental Health Care Programme

GP consultations


Consultation and psychotherapy


Depression
Medicine
Internet-based cognitive
 Discovery Health
Drinking Anxiety
app and digital
behavioural therapy (CBT)
benefits
Diagnosis

Resillience Sleep
Access to digital therapeutics for
mental health for any member

Wellbeing who is referred outside of the


Mental Health Care Programme.
Referral

Available to all members. Mental health risks are evaluated through If you are at-risk of depression, you have
re-assessment and clinical data. access to risk-funded interventions.

Personal Health
Pathways

The Discovery Health app is brought to you by Discovery Health (Pty) Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes.
2024 Contribution
updates

Creating
personal
2024 Benefit
update

health pathways Discovery Health


app and digital

for every member of


benefits

Discovery Health Medical Scheme


In 2024, all qualifying members of Discovery Health
Medical Scheme will have access to personal
Personal Health
health pathways that predict the most important Pathways
action you can take to improve your health.
With Discovery Health During 2024, Discovery Health Medical Scheme will introduce a disease management programme that seeks
2024 Contribution
updates

Medical Scheme, to make people healthier, giving each qualifying member a personalised healthcare pathway through the new
Discovery Health app and an intuitive WhatsApp journey. This will make it easy for you to know what will have
everyone can be healthier the biggest effect on your long-term health.

PERSONALISED HEALTH
PATHWAYS TO NAVIGATE 2024 Benefit
MEMBERS TO BETTER HEALTH update

Personalised and dynamic pathways that


follow you throughout your life and changing
health status.
AVAILABLE WHEREVER AND
WHENEVER YOU NEED IT
Simple and intuitive journeys
for members and doctors. Discovery Health
app and digital
NEXT BEST ACTIONS TO benefits
SIMPLIFY ENGAGMENT

The most important clinical and lifestyle


actions you can take to improve your health.

Personal Health
Pathways
Available to qualifying members in 2024

Personal Health Pathways are brought to you by Discovery Health (Pty) Ltd; registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes.
2024 Contribution
updates

Plan-specific 2024 Benefit


update

changes to your
health plan
Discovery Health
app and digital
benefits

Personal Health
Pathways
Simplification of the We are consolidating the Comprehensive plans in 2024 to simplify
Comprehensive series. 2024 Contribution

Comprehensive We are combining the Comprehensive plan range into two options:
updates

series 
Classic Comprehensive

Classic Smart Comprehensive
This makes the plans more competitive with the extensive day-to-day cover
that the Comprehensive series is known for, at a more affordable price point.

AFFORDABLE COVER
CONSOLIDATING THE COMPREHENSIVE SERIES INTO TWO PLANS FOR EXTENSIVE DAY-
TO-DAY BENEFITS 2024 Benefit
update

Comprehensive plans series Comprehensive plans series The Discovery Health Medical

2023 2024 Scheme extensive day-to-day


range maintains outstanding value
for members in 2024. It offers the
Classic Comprehensive most comprehensive benefits in
Classic Comprehensive the industry at a highly competitive
READ MORE ABOUT THE BENEFIT CHANGES price point.
Classic Delta Comprehensive
Discovery Health
app and digital
benefits
Essential Comprehensive Classic Smart Comprehensive

Essential Delta Comprehensive


READ MORE ABOUT THE BENEFIT CHANGES

Classic Smart Comprehensive

If you are currently on the Classic Delta Comprehensive, Essential Comprehensive, or Essential Delta Comprehensive plan, to ensure that you
remain covered as a member of the Comprehensive series, we’ll move you to either the Classic Comprehensive or Classic Smart Comprehensive
plan from 1 January 2024 if we dont receive a plan option from you. These plans offer you the most similar benefits based on your Personal Health
current benefits and healthcare claims. Pathways

You do have the option to select a new health plan that is right for you any time before 31 December 2023. You can make this selection
with the support of your financial adviser, which we recommend, or you can decide for yourself by reading and understanding the
Comprehensive series health plan guide here.
Optimisation of day-to-day benefits on the Saver series in 2024 2024 Contribution
updates

2024 Benefit
Economic pressures from rising interest After careful consideration of the current economic climate, Discovery Health Medical Scheme aims to optimise update
rates, slow growth and high levels of affordability for its members by reducing the Medical Savings Account (MSA) contributions on the Saver series in 2024:
consumer price inflation have placed

Classic Saver and Classic Delta Saver 
Coastal Saver MSA contributions will 
Essential Saver and Essential Delta
substantial financial strain on affordability
MSA contributions will reduce from reduce from 20% to 15%. Saver MSA contributions will reduce
for members in 2024.
25% to 20%. from 15% to 10%.

To maximise value for members, the Scheme will be enhancing the risk-funded day-to-day benefit offering in 2024 for key categories
of healthcare where members would typically utilise MSA funds.
These enhancements include:
Discovery Health
app and digital

Mental health preventative screening and access to the 
Urgent care cover through the virtual urgent care platform.
benefits
Cognitive Behavioural Therapy (iCBT).

In 2023, 7.3% of MSA funds were used to pay for mental health and casualty care. The allowance for these risk funded
benefits will help members extend the life of their MSA balances and increase the value of DHMS’ day-to-day benefit offering.

In addition, all new and existing members can continue to access valuable day-to-day benefits through the funds available in
their WELLTH Fund, which continues over 2024.

Personal Health
Pathways
2024 Contribution
BENEFIT CHANGES AND updates
NETWORK OPTIMISATION

We’re committed to improving the quality and coordination of your care. That’s
why we’ve made changes to your day-to-day cover for GP healthcare services,
so that you can continue to get the right support you need from the primary
KeyCare GP you have nominated.

From 1 January 2024, your day-to-day cover for the secondary KeyCare GP you
have nominated will be removed, but you’ll continue to have day-to-day cover
for visits to the primary KeyCare GP you have nominated, as well as the option 2024 Benefit

KeyCare series changes


update
to change that nomination during the year. You’ll also continue to have day-to-
day cover outside the KeyCare GP network, through a new, nation-wide primary
care clinic network.

We will share the details of this new network with you in a separate
communication soon.

We have made changes to the KeyCare Hospital Network for 2024, and you
can find the list of KeyCare Hospital Network to make sure we offer the highest
quality of care, efficient healthcare delivery and value for members.
Discovery Health
app and digital
benefits

Personal Health
Pathways

*
Y
 ou can easily find a network provider using the Find a healthcare provider function on the
Discovery Health app or website
Discovery
This ProductHealth
information
Medical brochure
Scheme, registration
is presentednumber
by Discovery
1125, Health
administered
(Pty) Ltd,
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Discovery Health
number (Pty)
1997/013480/07,
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1997/013480/07,
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brochureandis only
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Scheme
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awaiting
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detailed
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In all on
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Discovery
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Medical
SchemeScheme
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prevail.
please Please
visit www.discovery.co.za
consult the Scheme Rulesfor access
on to plan
brochures as well as a> full
www.discovery.co.za Medical
copy aid
of the
> About
proposed
Discovery
2024 Health
SchemeMedical
Rules. Discovery
Scheme. When
Healthreference
Medical Scheme,
is made to registration
‘we’ in thenumber
context 1125,
of benefits,
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payments or cover,
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to Discovery Health
an authorised
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The Discovery
provider
Health
and app,
administrator
HealthID and
of medical
Personalschemes.
Health
Pathways are brought to you by Discovery Health (Pty) Ltd.
Discovery Vitality is not part of the Discovery Health Medical Scheme. Vitality is a separate product sold and administered by Discovery Vitality
(Pty) Ltd.Registration number: 1999/007736/07. Limits, terms and conditions apply.

BACK TO COVER

101373DH_30/01/2024_V1
99641DH_02/11/2023_V5

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