Discovery medical aid price hikes for 2021 – what you will pay from July

South Africa’s largest medical aid scheme, Discovery Health, has announced its new fee schedules for 2021 which will come into effect from July.

This follows a freeze on prices implemented during the Covid-19 pandemic last year.

Discovery said that members had come under financial pressure because of the pandemic and national lockdowns, and decided to freeze contribution prices at 2020 levels for the first half of 2021.

Come July, however, prices will be increasing – with the scheme promising to keep adjustments under CPI+2%.

On Friday, the group announced that fees will be increasing by 5.9% across all plans. Given the 0% increase for the first half of the year, Discovery said this works out to a weighted increase of 3% for 2021.

Weighted average increases across medical aids for 2021 were in line with recommendations from the Council for Medical Schemes (CMS) – including 3.9% and 4.6% for Momentum Health and Bonitas, respectively.

The CMS called for companies to implement a freeze where possible, and if not possible, it recommended that increases be capped at 3.9%, in line with inflation.

The CMS said that despite the cost savings accrued to most schemes due to a noticeable decrease in utilisation during the lockdown in 2020, there was a risk that the savings might be wiped out due to the Covid-19 peak in the country, as well as because of pent-up demand.

“Accordingly, certain schemes may need to increase their contribution to mitigate against the risk of high-cost claims and subsequent reserves erosion,” it said at the time.

“In cases where schemes are unable to freeze their contribution increase for 2021, CMS recommends that schemes should limit their increases to 3.9% in line with CPI.”

Here are the full contribution changes (for the primary member).

Executive

Plan Jan – Jun 2020 Jul – Dec 2021 % change
Executive Plan R7 257 R7 688 5.9%

Comprehensive

Plan Jan – Jun 2020 Jul – Dec 2021 % change
Classic Comprehensive R5 954 R6 309 5.9%
Classic Delta Comprehensive R5 362 R5 681 5.9%
Essential Comprehensive R5 003 R5 301 5.9%
Essential Delta Comprehensive R4 507 R4 775 5.9%
Classic Smart Comprehensive R4 327 R4 585 5.9%

Priority

Plan Jan – Jun 2020 Jul – Dec 2021 % change
Classic Priority R3 814 R4 041 5.9%
Essential Priority R3 278 R3 472 5.9%

Saver

Plan Jan – Jun 2020 Jul – Dec 2021 % change
Classic Saver R3 290 R3 485 5.9%
Classic Delta Saver R2 628 R2 784 5.9%
Essential Saver R2 615 R2 770 5.9%
Essential Delta Saver R2 085 R2 209 5.9%
Coastal Saver R2 608 R2 763 5.9%

Smart

Plan Jan – Jun 2020 Jul – Dec 2021 % change
Classic Smart R1 954 R2 070 5.9%
Essential Smart R1 400 R1 483 5.9%

Core

Plan Jan – Jun 2020 Jul – Dec 2021 % change
Classic Core R2 449 R2 594 5.9%
Classic Delta Core R1 960 R2 076 5.9%
Essential Core R2 104 R2 229 5.9%
Essential Delta Core R1 681 R1 781 5.9%
Coastal Core R1 946 R2 062 5.9%

KeyCare

Plan Jan – Jun 2020 Jul – Dec 2021 % change
KeyCare Plus 0 – 8 550 R1 207 R1 279 5.9%
KeyCare Plus 8 551 – 13 800 R1 659 R1 758 5.9%
KeyCare Plus 13 801+ R2 450 R2 595 5.9%
KeyCare Core 0 – 8 550 R949 R1 005 5.9%
KeyCare Core 8 551 – 13 800 R1 183 R1 253 5.9%
KeyCare Core 13 801+ R1 809 R1 916 5.9%
KeyCare Start 0 – 9 150 R914 R968 5.9%
KeyCare Start 9 151 – 13 800 R1 538 R1 629 5.9%
KeyCare Start 13 801+ R2 394 R2 536 5.9%


Read: How to get a Covid-19 vaccine in South Africa as a Discovery member

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Discovery medical aid price hikes for 2021 – what you will pay from July