Discovery Health Medical Scheme · Cancer beyond PMB

Oncology Programme

Approved cancer treatment and related services over a 12-month rolling cycle, once the member registers and the treatment plan is approved.

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

How: Submit treatment plan; funding begins on approval (outcome 3-5 working days)

“Register on the Discovery Oncology Programme — You or your treating doctor can email a copy of your laboratory results confirming your diagnosis to DCO_Oncology@discovery.co.za”

At a glance

Scheme: Discovery Health Medical Scheme
Benefit area: Cancer beyond PMB
Who it is for: Every Discovery Health Medical Scheme option
Limit: R500 000 (Exec/Classic Comprehensive); R375 000 (Classic Smart Comprehensive); R250 000 (all other exc Active Smart/KeyCare); KeyCare=PMB · 100% DHR within threshold then 80% DHR remainder of cycle; PMB 100% DHR at network · 12-month rolling cycle
Who qualifies: Clinically confirmed cancer diagnosis with approved treatment plan.
Where you may go: Pharmacy DSP / MedXpress; cancer specialists in DSP/Premier Rate; KeyCare ICON — 20% co-payment for oncology medicine not from a pharmacy DSP; 80% DHR non-DSP

“the Scheme will support you by covering your approved cancer treatment for a 12-month rolling period”

“Please use our pharmacy designated service providers (DSPs) for approved oncology medicines to avoid a 20% co-payment.”

Which plans carry it

Every Discovery Health Medical Scheme option.

The scheme states every option.

“On the KeyCare series, we cover the cancer treatment and related costs if it is a Prescribed Minimum Benefit (PMB). The 12-month Oncology benefit threshold is not available on the Active Smart plan.”

Excludes: [object Object]

Where this comes from

oncology-programme.pdf, p.1-2,4-5 · 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.