Discovery Claims: How claims are paid

Executive Plan
  • Guaranteed full cover in hospital for specialists on a payment arrangement, and up to 300% Scheme Tariff for other specialists
  • High Savings Account, small Self Payment Gap and unlimited Above Threshold Benefit for day-to-day-expenses
  • Additional cover when your Savings runs out for GP consultation, kid’s casualty visits, blood tests and more. See plan for full benefits
  • See plan for full preventative benefits
Comprehensive Plan
  • Guaranteed full cover in hospital for specialists on a payment arrangement, and up to 200% Scheme Tariff for other specialists for Classic plans, and 100% Scheme Tariff for Essential plans
  • High Savings Account, then Self Payment Gap then unlimited Above Threshold Benefit for day-to-day-expenses
  • Additional cover when your Savings runs out for GP consultation, kid’s casualty visits, blood tests, maternity costs and more. See plan for full benefits
  • See plans for full preventative benefits
Smart Plan
  • Guaranteed full cover in hospital in the Smart Plan Network.
  • No Savings Account, but you get unlimited GP visits in the Smart Plan Network, as well as coverage for day-to-day medicine
  • See plan for full preventative benefits
Saver Plans
  • Guaranteed full cover in hospital for specialists on a payment arrangement, and up to 200% Scheme Tariff for other specialists for Classic plans, and 100% Scheme Tariff for Essential plans
  • A Savings Account for your Day-to-day needs
  • Additional cover when your Savings runs out for GP consultation, kid’s casualty visits, maternity costs and more. See plans for full benefits
  • >See plans for full preventative benefits
Core Plans
  • Guaranteed full cover in hospital for specialists on a payment arrangement, and up to 200% Scheme Tariff for other specialists for Classic plans, and 100% Scheme Tariff for Essential plans
  • No Savings Account for your Day-to-day needs
  • See plans for full preventative benefits
Priority Plans
  • Guaranteed full cover in hospital for specialists on a payment arrangement, and up to 200% Scheme Tariff for other specialists for Classic plans, and 100% Scheme Tariff for Essential plans
  • A Savings Account, then Self Payment Gap then limited Above Threshold Benefit for day-to-day-expenses
  • Additional cover when your Savings runs out for GP consultation, kid’s casualty visits, maternity costs and more. See plans for full benefits
  • See plans for full preventative benefits
KeyCare Plus
  • Unlimited cover in KeyCare Hospital Network
  • No Savings Account, but some casualty visits, maternity visits, GP consultations, limited specialists and day-to-day medicines covered by scheme
  • See plans for full preventative benefits
KeyCare Access
  • Unlimited cover in KeyCare Access Hospital Network for emergencies, trauma and childbirth. All else in state facilities.
  • No Savings Account, but some casualty visits, maternity visits, GP consultations, limited specialists and day-to-day medicines covered by scheme
  • See plans for full preventative benefits
KeyCare Core
  • Unlimited cover in KeyCare Hospital Network
  • No Savings Account or cover for day-to-day expenses. Some specialists and maternity visits are covered.
  • See plans for full preventative benefits

Medical Aid Bible helps South Africans choose the best medical aid plan for their needs. Quickly view the benefits on any open plan, and compare any two plans with a simple click.
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