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Discovery’s 2025 Changes

Discover the latest update on Discovery Health’s 2025 price increases.

It’s that time of the year again… the medical schemes are announcing their contribution increase for 2025 and any new products/enhancements. Discovery announced it’s 2025 increase in September. The average weighted increased across all products is 9.3%. Discovery has introduced a new option, the Active Smart which has been designed for young professionals and has a low price point.

The 2025 contributions increased between 7.4%- 10.9%:

PlanContribution Increases (%)
KeyCare Start Regional7,40%
KeyCare Start7,40%
KeyCare Core7,40%
KeyCare Plus9,90%
Coastal Core10,90%
Essential Delta Core9,90%
Essential Core9,90%
Classic Delta Core9,90%
Classic Core9,90%
Essential Dynamic Smart7,40%
Essential Smart7,40%
Classic Smart7,40%
Coastal Saver10,90%
Essential Delta Saver8,40%
Essential Saver8,40%
Classic Delta Saver8,40%
Classic Saver8,40%
Essential Priority9,90%
Classic Priority9,90%
Classic Smart Comprehensive10,90%
Classic Comprehensive10,90%
Executive Plan10,90%

Annual Benefit Updates

Inflationary Adjustments

To keep pace with rising healthcare costs, Discovery has adjusted co-payments and deductibles by 4.8%. This ensures your benefits remain relevant and effective.

Annual Threshold Changes

The annual thresholds for Executive, Comprehensive, and Priority plans have increased by 1% more than the contribution increases. This means you’ll have more flexibility in your healthcare choices.

Benefit Limits

While the Above Threshold Benefit limit for Comprehensive and Priority plans remains unchanged, Discovery has maintained coverage for critical benefits like oncology, specialized medicine, international travel, overseas treatment, and surgical appliances.

New Care Processes and Interventions

Scopes

Discovery is introducing a quality network for in-room scopes in 2025. To incentivize using this network, a co-payment will apply for scopes performed outside it.

  • Single scope: R1,750
  • Bi-directional scopes: R3,000

Cataract Surgery

To ensure you receive the best care, Discovery has partnered with a designated service provider (DSP) for cataract surgery. Members who choose this DSP will enjoy full coverage. Going outside the DSP will incur a 20% co-payment on the hospital account (R6,000).

Post-Surgery Support

Discovery is introducing a supportive post-surgery program for certain surgical procedures performed in our Short Stay Surgical network. This program includes:

  • Two daily visits from a health professional
  • Pain management
  • Virtual therapy
  • Clinical guidelines and protocols apply

Vitality Updates

Vitality has updated its flight destinations and sporting equipment benefits. Please let us know if you need more details.

Need Assistance?

If you have questions or want to change your Discovery plan, don’t hesitate to contact us. We’re here to help!

Clarity Employee Benefits is an authorized Financial Services Provider (FSP No. 51007). We’re ready to provide you with expert medical aid guidance and advice.

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