Discovery Health Medical Scheme · Chronic (beyond the CDL)

Additional Disease List (ADL)

Medicine for a further 22 named life-threatening or degenerative conditions beyond the statutory CDL 27. No formulary; paid to the monthly Chronic Drug Amount.

You must apply, and be approvedAn application goes in and the scheme decides. Approval is not automatic and the benefit does not backdate itself.

At a glance

Scheme: Discovery Health Medical Scheme
Benefit area: Chronic (beyond the CDL)
Who it is for: Named options — listed below
Limit: The scheme states a limit without a rand figure · chronic_drug_amount · monthly

“There is no medicine list (formulary) for the Additional Disease List (ADL) conditions. We pay for approved medicines for these conditions up to a monthly Chronic Drug Amount (CDA), the Discovery Health Rate (DHR) or Generic Reference Price, whichever is lowest.”

Which plans carry it

Executive Plan Classic Comprehensive

Named in the scheme’s own documents.

“Members on the Executive and Classic Comprehensive plans have access to cover for medicine for additional chronic conditions listed on the Additional Disease List (ADL). This benefit is not available on the Classic Smart Comprehensive Plan.”

Where this comes from

Discovery_2026_cover_for_medicine_and_treatment_of_chronic_conditions.pdf, p.5. Read from that document on 2026-08-29 for the 2026 plan year.

Every statement on this page is read from a Discovery Health Medical Scheme document and quoted so you can check it. Where a document says nothing, this page says so rather than filling the gap.

Check what your own plan leaves you to pay Your plan, your family, your conditions — the shortfall in rands before you choose a gap policy.

Programme rules are set by the scheme and change at renewal. This page renders what Discovery Health Medical Scheme’s own documents say, with the wording quoted so you can check it. Confirm with the scheme before you rely on it.