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2022 PLAN COMPARISON

2022 PLAN COMPARISONS eriesPlanContributions (R)Contributions to Medical Savings Account (R)Total contributions (R)Main memberAdultChild**Main memberAdultChild**Main memberAdultChild**ExecutiveExecutive Plan5,7665,7661,1011,9221,9223677,6887,6 881,468 ComprehensiveClassic Comprehensive4,7324,4759441,5771,4913146 ,3095,9661,258 Classic delta Comprehensive4,2614,0348491,4201,3442835 ,6815,3781,132 Essential Comprehensive4,5064,2599097957511605,301 5,0101,069 Essential delta Comprehensive4,0593,8348147166761434,775 4,510957 Classic Smart Comprehensive 4,5854,2301,459No Medical Savings Account4,5854,2301,459 PriorityClassic Priority3,0312,3901,2131,0107964044,0413 ,1861,617 Essential Priority2,9522,3221,1805204092083,4722,7 311,388 SaverClassic Saver2,6142,0631,0488716873493,4852,7501 ,397 Classic delta Saver2,0881,6508396965502792,7842,2001,1 18 Essential Saver2,3551,7679444153111662,7702,0781,1 10 Essential delta Saver1,8781,4187543312501332,2091,668887 Coastal Saver2,2111,6638935524152232,7632,0781.

Classic Delta Comprehensive 4 261 4 034 849 1 420 1 344 283 5 681 5 378 1 132 ... Discovery Health Medical Scheme 2022 contributions. ... a defined list of 271 diagnoses and a defined list of 27 chronic conditions. Your medical condition must qualify for cover and be part of the defined list of Prescribed Minimum Benefit conditions. The ...

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Transcription of 2022 PLAN COMPARISON

1 2022 PLAN COMPARISONS eriesPlanContributions (R)Contributions to Medical Savings Account (R)Total contributions (R)Main memberAdultChild**Main memberAdultChild**Main memberAdultChild**ExecutiveExecutive Plan5,7665,7661,1011,9221,9223677,6887,6 881,468 ComprehensiveClassic Comprehensive4,7324,4759441,5771,4913146 ,3095,9661,258 Classic delta Comprehensive4,2614,0348491,4201,3442835 ,6815,3781,132 Essential Comprehensive4,5064,2599097957511605,301 5,0101,069 Essential delta Comprehensive4,0593,8348147166761434,775 4,510957 Classic Smart Comprehensive 4,5854,2301,459No Medical Savings Account4,5854,2301,459 PriorityClassic Priority3,0312,3901,2131,0107964044,0413 ,1861,617 Essential Priority2,9522,3221,1805204092083,4722,7 311,388 SaverClassic Saver2,6142,0631,0488716873493,4852,7501 ,397 Classic delta Saver2,0881,6508396965502792,7842,2001,1 18 Essential Saver2,3551,7679444153111662,7702,0781,1 10 Essential delta Saver1,8781,4187543312501332,2091,668887 Coastal Saver2,2111,6638935524152232,7632,0781.

2 116 SmartClassic Smart2,0701,634827No Medical Savings Account2,0701,634827 Essential Smart1,4831,4831,4831,4831,4831,483 CoreClassic Core2,5942,0461,038No Medical Savings Account2,5942,0461,038 Classic delta Core2,0761,6378302,0761,637830 Essential Core2,2291,6718962,2291,671896 Essential delta Core1,7811,3407151,7811,340715 Coastal Core2,0621,5488202,0621,548820 KeyCare*KeyCare Plus 0 8,5501,2791,279464No Medical Savings Account1,2791,279464 KeyCare Plus 8,551 13,8001,7581,7584951,7581,758495 KeyCare Plus 13,801+2,5952,5956952,5952,595695 KeyCare Core 0 8,5501,0051,005260No Medical Savings Account1,0051,005260 KeyCare Core 8,551 13,8001,2531,2533101,2531,253310 KeyCare Core 13,801+1,9161,9164351,9161,916435 KeyCare Start 0 9,150968968583No Medical Savings Account968968583 KeyCare Start 9,151 13,8001,6291,6296371,6291,629637 KeyCare Start 13,801+2,5362,5366882,5362,536688 KeyCare Start Regional 0 9,150930930560No Medical Savings Account930930560 KeyCare Start Regional 9,151 13,8001,4051,4056201,4051,405620 KeyCare Start Regional 13,801+2,1902,1906702,1902,190670 Shariah Compliant Arrangement available on all health plans.

3 * Income verification will be conducted for the lower income bands. Income is considered as: The higher of the main member or registered spouse or partner s earnings, commission and rewards from employment; interest from investments; income from leasing of assets or property; distributions received from a trust, pension and/or provident fund; receipt of any financial assistance received from any statutory social assistance programme.** We count a maximum of three children when we work out the monthly contribution and annual Medical Savings health Medical Scheme 2022 contributions (January September)SeriesPlanContributions (R)Contributions to Medical Savings Account (R)Total contributions (R)Main memberAdultChild**Main memberAdultChild**Main memberAdultChild**ExecutiveExecutive Plan6,2246,2241,1902,0742,0743968,2988,2 981,586 ComprehensiveClassic Comprehensive5,1084,8311,0191,7021,61033 96,8106,4411,358 Classic delta Comprehensive4,6004,3549161,5331,4513056 ,1335,8051,221 Essential Comprehensive4,8654,5959828588101735,723 5,4051,155 Essential delta Comprehensive4,3824,1388787737301545,155 4,8681,032 Classic Smart Comprehensive 4,9494,5681,574No Medical Savings Account4,9494,5681,574 PriorityClassic Priority3,2722,5801,3091,0908604364,3623 ,4401,745 Essential Priority3,1872,5051,2735624422243,7492,9 471,497 SaverClassic Saver2,8222,2261,1319407423773,7622,9681 ,508 Classic delta Saver2,2551,7819057515933013,0062,3741,2 06 Essential Saver2,5421,9071,0194483361792,9902,2431 ,198 Essential delta Saver2,0281,5308143572701432,3851,800957 Coastal Saver2,3871,7949645964482412,9832,2421.

4 205 SmartClassic Smart2,2351,763892No Medical Savings Account2,2351,763892 Essential Smart1,6001,6001,6001,6001,6001,600 CoreClassic Core2,8002,2091,120No Medical Savings Account2,8002,2091,120 Classic delta Core2,2411,7678962,2411,767896 Essential Core2,4061,8049672,4061,804967 Essential delta Core1,9231,4467711,9231,446771 Coastal Core2,2261,6718852,2261,671885 KeyCare*KeyCare Plus 0 8,9501,3801,380502No Medical Savings Account1,3801,380502 KeyCare Plus 8,951 14,4001,8971,8975351,8971,897535 KeyCare Plus 14,401+2,8012,8017502,8012,801750 KeyCare Core 0 8,9501,0841,084284No Medical Savings Account1,0841,084284 KeyCare Core 8,951 14,4001,3521,3523361,3521,352336 KeyCare Core 14,401+2,0682,0684702,0682,068470 KeyCare Start 0 9,5501,0441,044637No Medical Savings Account1,0441,044637 KeyCare Start 9,551 14,4001,7581,7586891,7581,758689 KeyCare Start 14,401+2,7372,7377442,7372,737744 KeyCare Start Regional 0 9,550930930560No Medical Savings Account930930560 KeyCare Start Regional 9,551 14,4001,4051,4056201,4051,405620 KeyCare Start Regional 14,401+2,1902,1906702,1902,190670 Shariah Compliant Arrangement available on all health plans.

5 * Income verification will be conducted for the lower income bands. Income is considered as: The higher of the main member or registered spouse or partner s earnings, commission and rewards from employment; interest from investments; income from leasing of assets or property; distributions received from a trust, pension and/or provident fund; receipt of any financial assistance received from any statutory social assistance programme.** We count a maximum of three children when we work out the monthly contribution and annual Medical Savings health Medical Scheme 2022 contributions (October December) ExecutiveComprehensivePrioritySaverSmart CoreKeycare ClassicEssentialClassic SmartClassicEssentialClassicEssentialCoa stalClassicEssentialClassicEssentialCoas talPlusCoreStartStart RegionalPMBP rescribed Minimum Benefits (PMB)All Discovery health Medical Scheme (DHMS) plans cover the costs related to the diagnosis, treatment and care of: an emergency medical condition, a defined list of 271 diagnoses and a defined list of 27 chronic conditions.

6 your medical condition must qualify for cover and be part of the defined list of Prescribed Minimum Benefit conditions. The treatment needed must match the treatments in the defined benefits. You must use designated service providers (DSPs) in our network this does not apply in emergencies. Where appropriate and according to the rules of the Scheme, you may be transferred to a hospital or other service providers in our network once your condition has stabilised. If your treatment doesn t meet the above criteria, we will pay up to 80% of the Discovery health Rate (DHR). You will be responsible for the difference between what we pay and the actual cost of your BENEFITSM edical Savings Account (MSA) and day-to-day benefits Pays for day-to-day medical expenses like GP consultation fees, prescribed and over-the-counter medicine, radiology and pathology as long as you have money for day-to-day medical expenses like GP consultation fees, prescribed and over-the-counter medicine, radiology and pathology as long as you have money plan does not offer a Medical Savings Account.

7 Access to a defined set of benefits including GP consultations, certain specialist visits, certain acute medicine when prescribed by a Smart GP and over-the-counter medicine, dental check up and optometry check up with fixed co-payments and for day-to-day medical expenses like GP consultation fees, prescribed and over-the-counter medicine, radiology and pathology as long as you have money plan does not offer a Medical Savings Account. Access to a defined set of benefits including GP consultations, certain acute medicine when prescribed by a Smart GP and over-the-counter medicine, dental check up and optometry check up with fixed co-payments and limits. This plan does not offer a Medical Savings Account. Access to a defined set of benefits including GP consultations, certain over-the-counter medicine, dental check up and optometry check up with fixed co-payments and limits. This plan does not offer a Medical Savings plan does not offer a Medical Savings Account.

8 Day-to-day benefits through your chosen GP and day-to-day medicine from our medicine list when prescribed by your chosen KeyCare GP. We pay for basic radiology and pathology at a network provider if referred by your chosen GP, as well as basic optometry and dentistry, and specialist cover up to R4 730 per person per year when referred by your chosen plan does not offer a Medical Savings Account. Specialist cover up to R4 730 per person per year when referred by a plan does not offer a Medical Savings Account. Day-to-day benefits through your chosen KeyCare Start GP and day-to-day medicine from our medicine list when prescribed by your chosen KeyCare Start GP. We pay for basic radiology and pathology if referred by your chosen KeyCare Start GP, as well as basic optometry and dentistry, and specialist cover up to R2 370 per person per year when referred by your chosen KeyCare Start plan does not offer a Medical Savings Account.

9 Day-to-day benefits through referral by the KeyCare Online Practice and day-to-day medicine from our medicine list when prescribed by your chosen KeyCare Start Regional GP. We pay for basic radiology and pathology if referred by your chosen KeyCare Start Regional GP. As well as basic optometry and dentistry, and specialist cover up to R2 370 per person per year when referred by your chosen Extender BenefitPays for certain day-to-day benefits after you have run out of money in your MSA and before you reach the Annual Threshold. Covers unlimited pharmacy clinic consultations in our wellness network, as well as video call consultations with a network GP. You also have unlimited cover for consultations with a network GP who meets the digital criteria, when referred. We cover consultations up to the DHR. You also have additional cover for kids casualty for certain day-to-day benefits after you have run out of money in your MSA and before you reach the Annual Threshold.

10 Covers unlimited pharmacy clinic consultations in our wellness network, as well as video call consultations with a network GP. You also have unlimited cover for consultations with a network GP who meets the digital criteria, when referred. We cover consultations up to the DHR. On Classic, you also have additional cover for kids casualty plan does not offer this for certain day-to-day benefits after you have run out of money in your Medical Saving Account and before you reach the Annual for certain day-to-day benefits after you have run out of money in your Medical Savings plans do not offer this unlimited pharmacy clinic consultations in our wellness network, as well as video call consultations with a network GP. You also have unlimited cover for consultations with a network GP who meets the digital criteria, when referred. We cover consultations up to the DHR. You also have additional cover for kids casualty unlimited pharmacy clinic consultations in our wellness network, as well as video call consultations with a network GP.


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