Discovery Health 2013

Discovery Health 2013
Speaker name

Core purpose and ambition Core purpose Ambition An insurance organisation comparable to the best in the world that is renowned for excellence, innovation and financial strength. In addition, the organisation must be a powerful force for social good Make people healthier and enhance and protect their lives

The Discovery Health Medical Scheme offering 2 1 Choose from the widest ranges of plans to suit your medical need and budget Discovery Health Medical Scheme offers you unequalled financial security 3 4 Enjoy extensive cover and support and access to the latest medicines and technologies Access a member journey that is exceptional and intuitive 5 Improve your health through Vitality

You have complete peace of mind that there is sufficient reserves to pay your claims Member reserves (R’ billion) Global Credit Rating Medical Fund GCR Rating Discovery AA+ Medihelp AA- Fedhealth AA- Medshield AA-* Liberty AA- Bonitas AA- Sizwe A+* Momentum A+ Resolution A-** Discovery has been awarded the highest possible rating for 12 consecutive years *Under curatorship ** Rating watch - Source 2012 Global Credit Rating Reports Source: Global Credit Rating Reports

You have a choice of plans to suit your medical need

Your choices within the KeyCare Series KeyCarePlus KeyCareAccess KeyCareCore KeyCare Hospital Network KeyCare Hospital Network for emergencies and trauma; KeyCare Access Hospital Network* for child birth and care of newborns KeyCare Hospital Network Critical hospital care KeyCare Hospital Network Contracted state hospitals KeyCare Hospital Network Planned hospital care Chronic Illness Benefits Cover for antenatal services and specialist consultations Day-to-day medical care Screening and prevention *A network of 32 private hospitals KeyFIT

You have a choice of Classic Comprehensive Zero MSA Classic Comprehensive Zero MSA Member funds Above threshold benefit Plan design delivers security and flexibility: Security of unlimited cover in-hospital Security of comprehensive cover for chronic medicine Security of day-to-day cover above threshold Flexibility to self fund day-to-day care below threshold Hospital Benefit Chronic Illness Benefit Screening & Prevention Vitality Vitality Security of extensive private healthcare cover in-hospital and for chronic medicine, but with flexibility to self fund for day-to-day healthcare needs without an MSA

You can choose from one of our 21 plan options Monthly premiums for a principal member

You will have the best access to medical cover and support both in-and-out of South Africa Africa Benefit Emergency assistance Evacuation to SA for emergencies in Africa Trauma Support International Travel Benefit Cover for medical emergencies while travelling overseas Medical Liaison Managers Emergency HealthID™ Make your stay in hospital more comfortable

At Discovery Health you will receive the most extensive care and support for serious illnesses Case study: The Discovery Health Oncology Benefit Oncology cover is unlimited on all plans Ongoing care and support through Oncology Liaison Managers and Cancer Coaches Discovery Health members receiving treatment for cancer 30 000 99.8% R940m Annual spend from the oncology benefit Of oncology claims are covered in full

The Insured Network Benefit in 2013 The Insured Network Benefit in 2013 GP consultations Unlimited visits on: Executive Comprehensive Priority Defined number of visits: Saver Pathology Unlimited on: Executive Classic Comprehensive Classic Delta Comprehensive Classic Priority Day-to-day generic medicines (schedule 3 and above) Unlimited on: Executive Classic Comprehensive Classic Delta Comprehensive + + = Network of independent pharmacies 58% of average spend in Self Payment Gap is covered by the Insured Network Benefit

If you have a chronic condition, youcan save up to 25% on ChroniCare products at Dis-Chem pharmacies Enjoy the rewards Activate ChroniCare Complete a Vitality Check Shop at Dis-Chem Earn up to 25% cash back Receive an activation pack At a pharmacy in the Vitality Wellness Network or a Wellness Day Swipe your ChroniCare card

You can save up to 25% on your medication through the MedSaver benefit at Clicks pharmacies Enjoy the rewards Activate MedSaver Complete a Vitality Check Visit a Clicks store Earn up to 25% cash back Go to www.discovery.co.za to activate At a pharmacy in the Vitality Wellness Network or a Wellness Day Purchase schedule 1 and 2 medicines

You can have your medication delivered to your door: MedXpress Communication of full cover options Centralised storage of members’ details Dispensing fees charged at or below Discovery rate Members can receive medication while travelling Send us your script: medxpress@discovery.co.za Phone us to place your order: 0860 99 88 77

You can save up to 20% on your frames and lenses through our optometry network You enjoy preferential discounts on Optometry 20% Upfront discount Upfront discount on frames and lenses Extensive network of optometrists Upfront discount Preserve your Medical Savings Account and extend your rand limit for optometry

The scale of operations Every working minute… 3 New policy applications to the scheme 65 Calls handled 128 Emails received 342 Claims processed 1 Hospital Admissions authorised R 225 000 Paid out for claims

We offer you assistance to ensure you get the most out of your benefits Carry an electronic membership card Track claims and medical spend Personal health records Request a document Take a photo of a claim and send it to us View information on hospital procedures Order door-to-door medicine delivery Translate cover into one of five languages Check medicine prices and alternatives Watch our educational videos slide to unlock

As a Discovery Health member, your doctor has access to tools to guide you through the healthcare system Electronic health records Chronic Illness Benefit application and approval Complete an electronic Chronic Illness Benefit application form with the required information and validation built into the electronic process. Access Discovery Health members’ full electronic health record, including details of previous doctor and hospital visits, previously prescribed medicines, blood test results as well as health measures. Electronic prescriptions direct to your pharmacy Benefit details and cover Prescribe medicine for chronic and acute conditions using HealthID. View Discovery Health members’ personal and benefit information. Emergency HealthID Electronic referrals Discovery Health members’ unique QR code gives emergency personnel secure access to essential information in an emergency. Refer Discovery Health members to another healthcare professional by using the electronic referral tool.

The Vitality program drives and rewards healthy behaviour Vitality makes living Earn Vitality a healthier lifestyle points for doing various health easier, with savings and rewards assessments for using our to help you partners understand your current healthy status and how to Improve it As you get healthier, earn Vitality points and build up your Vitality status you will enjoy greater rewards

Vitality makes it easy for employees to improve their health Diamond status Gain points from living a healthy lifestyle Gold status Perform health checks Silver status Bronze status Complete online health assessments at www.discovery.co.za UP TO 15 000 POINTS P.A UP TO 9 000 POINTS P.A 2 500 POINTS 2 500 POINTS 2 000 POINTS UP TO 14 000 POINTS 5 000 POINTS 5 000 POINTS UP TO 7 500 POINTS 1 000 POINTS 5 000 POINTS PROSTATE SCREENING / MAMMOGRAM MENTAL WELLBEING ASSESMENT VITALITY HEALTH REVIEW Blue status FITNESS POINTS VITALITY CHECK NON-SMOKER DECLARATION NUTRITION ASSESSMENT ONLINE FITNESS ASSESSMENT FITNESS ASSESSMENT HIV TEST HealthyFoodTM

Improve your health: Enjoy great savings at fitness partners 1. Gyms and health clubs 2. Make healthier lifestyle choices Save as much as 80% when you join either Allen Carr’s Easyway or Smokenders. Earn 5 000 Vitality points for being a non-smoker. Save 30% at Weigh-Less or Weight Watchers. Earn 1 000 points for a weight assessment and 4 000 points for reaching your goal weight. Main member and spouse save up to 80% on the monthly rate at Virgin Active or Planet Fitness and all dependants 18 years and older save 50%. Each member must pay a card fee, an activation fee of R745 and the monthly rate. 3. Outdoor fitness activities 4. Fitness monitors and smartphones 80% saving on a year’s membership at Run/Walk For Life Earn Vitality points for a 9- or 18-hole round of golf. Earn up to 5 000 Vitality points for a timed sporting event Earn Vitality points when you use a web-enabled fitness monitors and smartphones

Improve your health: Get rewarded for healthy living Up to 25% saving on HealthyLiving™ products

Enjoy the rewards:Rewards on local and international flights Blue 15% Bronze 20% Silver 25% Gold 30% Diamond 35% 14 Emirates international destinations: 32 British Airways international destinations: Bangkok Beijing Cairo Delhi Dubai Hong Kong Istanbul Kuala Lumpur Maldives Moscow Mumbai Shanghai Singapore Tokyo Manchester Maputo Mauritius Miami Munich New York Nice Paris Prague Rome San Francisco Tel Aviv Toronto Vancouver Athens Amsterdam Barcelona Chicago Edinburgh Frankfurt Gaborone Geneva Harare Lisbon Livingstone London Los Angeles Madrid Victoria Falls Vienna Windhoek Zurich

Rewards are enhanced through DiscoveryCard Get up to 20% cash back at partner stores Cash back based on Vitality Status DiscoveryCard partners New New New

Pick n Pay rewards are enhanced through DiscoveryCard and the Pick n Pay smart shopper programme smart shopper points multiplier points based on Vitality status, for DiscoveryCard holders Blue X 2 Bronze X 4 Silver X 6 Gold X 8 Diamond X 10 Equates to up to 10% saving on purchases at Pick n Pay. No sub-limits on expenditure apply to the 2012 smart shopper multiplier benefit.

Introducing VitalityMobile in 2013 Choose your cell phone and contract Activate VitalityMobile for R29 a month FREE from 99c Blackberry Nokia Apple Over and above standard contract offer, members will get: Calls to all VitalityMobile members Samsung LG 50% Data boost on VitalityMobile packages, with a minimum boost of 100MB Per minute billing for international calls Members have access to the complete phone range through Cell C’s footprint Members call each other for free and receive a 50% boost on data

Enjoy the rewards:Other rewards Other travel rewards Lifestyle rewards Shopping rewards

KeyFIT: Incentives and rewards to enjoy a healthier lifestyle Immediate Reward With Vitality Check Up to 15% Up to 15% Rands R15 000 Up to 15% Up to 10% Up to 5% Gift BAG 10% HealthyFoodTM saving 15% HealthyFoodTM saving 10% HealthyCareTMsaving 15% HealthyCareTM saving 10% HealthyGearTMsaving 15% HealthyGearTM saving 5% Clicks Cash-back rewards 10% Clicks Cash-back rewards R10 000 funeral cover for you R15 000 funeral cover for you and up to three spouses. and up to three spouses. R5 000 funeral cover for up to R7 500 funeral cover for up to five children five children Up to 67% The Discovery Baby programme gives new and expectant parents a baby bag filled with useful information, important baby products and discount vouchers Get a 5% discount on prepaid airtime from Cell C, Vodacom, MTN and Telkom The main member and spouse save 67% on the monthly rate at 46 Virgin Active gyms

A summary of what we offer you as a Discovery Health member

Discovery Health 2013
Speaker name

Discovery Health 2013