Discovery Health Medical Scheme · HIV

HIV Care Programme

Manages HIV/AIDS care, funding antiretroviral medicine and a basket of care once registered on the Disease Management Programme.

You must registerThis benefit does not start on its own. Until you register, you are paying for cover you are not receiving.

How: DSP referral for 100% DHR

“HIV Management for members registered on the Scheme's Disease Management Programme”

At a glance

Scheme: Discovery Health Medical Scheme
Benefit area: HIV
Who it is for: Every Discovery Health Medical Scheme option
Limit: basket of care as set by the Scheme · up to 100% DHR if referred by the Scheme's DSP (Annexure 7 basis)
Who qualifies: HIV/AIDS diagnosis (PMB/CDL).
Where you may go: Scheme DSP referral — reduced cover if not DSP-referred

“Up to 100% of the Discovery Health Rate for services covered in the Scheme's basket of care if referred by the Scheme's DSP.”

“if referred by the Scheme's DSP”

Which plans carry it

Every Discovery Health Medical Scheme option.

The scheme states every option.

“* Managed through the HIV Care Programme”

Where this comes from

Discovery_2026_cover_for_medicine_and_treatment_of_chronic_conditions.pdf, p.5 · benefit_guide. 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.