Discovery Newsletter June 2019

Discovery Newsletter June 2019 | Discovery News for Discovery Health members

Day-To-Day Extender Benefit (DEB):
This benefit is available on all plans with a Medical Savings Account (MSA).

When you have spent your annual MSA allocation, cover is extended through the DEB with the use of network providers. Cover depends on your plan.

GP consultations at network GPs (consultations only): Executive, Comprehensive and Priority plans: unlimited visits
Classic and Coastal Plans: 3 consultations per member, 6 per family Essential plans: 2 consultations per member, 4 per family

Kids Casualty Cover:
Applicable to Executive and Classic plans only.
Children younger than 10 years have cover for 2 casualty visits when the MSA has been depleted. Claims are paid at 100% of medical aid rate.

Members on all plans can join the Diabetes Care program, if they are registered for Chronic Benefits.

Members on Priority, Saver and Core plans must use a Premier Plus GP for the management of their diabetes, to avoid a 20% co-payment. If the GP is affiliated to the CDE then care will be managed through the CDE.

Members on Smart plans must choose a doctor who is on both the Smart and Premier Plus GP networks for management of their diabetes, to avoid a 20% co-payment. If the GP is affiliated to the CDE then care will be managed through theCDE.

Members on KeyCare plans must choose a doctor who is on both the KeyCare or KeyCare Start and Premier Plus GP networks for management of their diabetes, to avoid a 20% co-payment. KeyCare members do not have access to the CDE.

Alcohol, substance and drug detoxification and rehabilitation are covered under the Prescribed Minimum Benefits (PMBs) and includes in-hospital management only. Admission needs to be authorised.

Detoxification is covered in full at designated service providers for a maximum of 3 days per admission, and for a maximum of 21 days per year. This must be followed by an admission for rehabilitation.

The full list of designated service providers can be found by downloading the PDF from the benefit section of the website and your closest provider will be advised when you authorise your stay. Cover at these providers includes accommodation at the facility, therapy sessions, psychologist and/or psychiatrist consultations and medication for withdrawal management.

If you choose to use a provider that is not on the list, then cover is for 80% of the medical aid tariff, and you will need to pay the difference. Where there is no designated service provider within reasonable proximity to your home or work address, full payment will be considered.

Vitality offers many rewards, some based on your Vitality Status.

Healthy Living:

HealthyFood:
Woolworths and Pick n Pay (10% at both partners when activated, 15% at preferred partner when Vitality Age questionnaire completed and 25% when Vitality Health Check completed).

HealthyCare:
Dis-Chem and Clicks (10% at both partners when activated, 15% at preferred partner when Vitality Age questionnaire completed and 25% when Vitality Health Check completed).

HealthyGear:
Totalsports and Sportsmans Warehouse (10% at both partners when activated, 15% at preferred partner when Vitality Age questionnaire completed and 25% when Vitality Fitness Assessment completed).

HealthyDining:
Col’Cacchio, Doppio Zero, Ocean Basket, and Nando’s, through Uber Eats (Adults: 10% on selected meals when activated, 15% when Vitality Age questionnaire completed and 25% when Vitality Health Check completed. Children under 12: 50% on selected kids’ meals.).

Travel Rewards:
Local Flights: British Airways, kulula.com (up to 35% on base price depending on Vitality Status) International flights: British Airways, Emirates, Qantas (up to 35% on base price depending on Vitality Status) Accommodation: Vitality Hotel Collection (up to 35% depending on VitalityStatus).

Car Hire:
Europcar, Tempest (up to 35% depending on Vitality Status) Bus Trips: Greyhound (up to 20% depending on Vitality Status).

Gym Benefits:
Virgin Active (up to 75% off the monthly fees depending on your plan selected) Planet Fitness (up to 75% off the monthly fees depending on your plan selected).

Ster Kinekor:
Half price tickets for adults, and free movies for children under age 18 before 7pm.

Vitality Active Rewards:
Weekly rewards for meeting driving and exercise goals.

Vitality: Know Your Health

Only when you know your health status, can you improve on it.

Vitality Age:
Complete the online questionnaire on habits and activity and find out what your problem areas are.

Vitality Health Check:
Finger-prick blood tests and weight assessment to get more details on your health.

Vitality Fitness Assessment:
Assessment with biokineticist, including cardio and flexibility.

Screening and Prevention:
HIV, pap smears, mammograms, dental checks, dietitian.

Medical Aid Quotes | Gap Cover Quotes | Life Insurance | Vitality

Disclaimer: The information and opinions in this document have been recorded and arrived at in good faith and from sources believed to be reliable, but no representation or warranty, expressed or implied, is made to their accuracy, completeness or correctness. The information is provided for information purposes only and should not be construed as the rendering of advice. Informed Healthcare Solutions accordingly accepts no liability whatsoever for any direct, indirect or consequential loss arising from the use of this document or its contents. IHS is a licensed financial service provider: FSP # 12239