Health-E Newsletter April 2019

In this edition of Health-E, we provide you with further information on the Discovery Day Surgery Network for 2019.

The Discovery Day Surgery Network

From this year, the Discovery Day Surgery Network is the Designated Service Provider for a defined list of clinically appropriate procedures on Priority, Saver, Core, Smart and Keycare plans. The Discovery Day Surgery Network provides national coverage for a range of medical procedures that can be performed on a same day basis. The network ensures national coverage by including both day surgery centre and acute hospitals and will be subject to annual review.

Priority, Saver, Core and Smart plans

For the defined list of clinically appropriate procedures, members will be covered in full if the procedure is performed in the Discovery Day Surgery Network. Members will have to pay a deductible of R5 000 if the procedure is voluntarily performed outside the network, with the exception of the Smart and Delta plans where the deductible is R8 800 and R7 650 respectively. ln the case of an emergency, no deductible will be applied outside the network.

Keycare Plans

For the defined list of clinically appropriate procedures, members will be covered in full if the procedure is performed in the Discovery Day Surgery Network. Keycare members will have no cover if the procedures are performed outside the network. ln the case of an emergency, the member will be covered in full for the procedure outside the network.

Please find attached the Day Surgery Network List 2019.

As always, we are available to help you with any medical aid or gap cover related query. Please feel free to contact us directly at:

Corlene Botha & Chantelle Potgieter

Office: 021-9821523/021-9820754

Cell: 083 272 3519

Email: corlene@crue.co.za