Does Discovery really cover drug and alcohol rehabilitation?

Discovery does pay for addiction treatment, but the level of cover, length of stay and network rules depend heavily on your specific plan and proper clinical motivation.

What should I ask Discovery or the rehab before admission?

Ask about benefits for substance use, authorised days, co-payments, designated providers and what happens if more time is needed, and insist that the rehab helps with this instead of leaving you to fight alone.

Can Discovery refuse to fund treatment if there were previous relapses?

They can question repeated, short admissions with no change in plan, which is why a credible relapse prevention and aftercare strategy matters as much as the initial approval.

How do I avoid surprise bills with Discovery-linked rehab?

Confirm in writing whether the facility charges above Discovery rates, what extras are not covered, and whether doctors or therapists bill separately, so you know the real cost before you sign anything.

Will my employer automatically know I used Discovery for rehab?

No, your clinical details stay with the treating team and scheme; employers may see sick leave and broad codes if HR is involved, but they are not handed your therapy notes unless you consent.

Discovery Covers 24 Days Of Inpatient Drug And Alcohol Rehab

Yes, Discovery covers 21 days of inpatient drug and alcohol rehab, and 3 days of detox, per year. The year runs from January to January.

Discovery has a vested interest in keeping its medical aid members healthy. Addiction is an overwhelming struggle for both the individual and their loved ones. Discovery covering treatment gets their members that need drug and alcohol rehabilitation well again and keeps their long-term costs down.

If you or a loved one are addicted, call us now for professional rehabilitation help on 081-444-7000. Due to withdrawal symptoms, inpatient rehab is often the best course of action.

Due to the cost of drug and alcohol rehabilitation, accessing treatment can be a major barrier for some. If you’re a Discovery medical aid member this can provide much-needed financial assistance. Lets have a look at how Discovery Medical aid covers drug and alcohol rehabilitation and what benefits are available for those seeking treatment.

Understanding Discovery Medical Aid Plans

As of 2024, it doesn’t matter which Discovery Medical Aid plan you’re on. Discovery will fund rehabilitation at the same rate. Discovery pays approx. R1,300 a day leaving a co-payment of between R13,000 and R30,000 depending on which rehab you choose and how long their Primary Care treatment is.

We often have family members ask whether Discovery will pay for rehab if they’re on a specific plan. The rehab benefit is a PMB (prescribed minimum benefit), therefore Discovery must pay for rehab and they pay out at the same rate. Discovery offers a range of plans, each with different levels of coverage and benefits. These plans include the Classic Comprehensive, Essential Comprehensive, Essential Delta Comprehensive, and Classic Delta Comprehensive plans.

Contact us today and we’ll do the pre-authorization for you. It’s an easy process, done in a short phone call to Discovery.

Discovery benefits for drug and alcohol rehabilitation

Discovery Medical Aid does offer coverage for drug and alcohol rehabilitation, but the extent of coverage will depend on your specific plan.

The Classic Comprehensive and Essential Comprehensive plans offer the most comprehensive coverage for rehabilitation, including inpatient and outpatient treatment, medication, and therapy sessions. The Essential Delta Comprehensive and Classic Delta Comprehensive plans offer more limited coverage but still provide benefits for inpatient and outpatient treatment.

Discovery plan exclusions

While Discovery Medical aid does offer coverage for drug and alcohol rehabilitation, there are some exclusions to be aware of. These include any treatment that is not deemed medically necessary, as well as any treatment that is not provided by a registered healthcare professional. It is important to review your specific plan and speak with a representative from Discovery, or a qualified professional form Changes Addiction Rehab to fully understand what is covered and what is not.

Why Does Discovery Cover Drug and Alcohol Rehabilitation?

In addition to coverage for rehabilitation, Discovery Medical aid also offers additional resources for those struggling with addiction. These include access to a 24/7 helpline, online support groups, and access to a network of addiction specialists. These resources can be incredibly valuable for individuals seeking support and guidance on their journey to recovery.

Additional resources for addiction support

In conclusion, Discovery Medical aid does offer coverage for drug and alcohol rehabilitation, but the extent of coverage will depend on your specific plan. It is important to review your plan and speak with a representative from Discovery to fully understand what benefits are available to you. Additionally, Discovery offers additional resources for addiction support, which can be incredibly valuable for individuals seeking help. If you or a loved one is struggling with addiction, know that there is support available and that medical aid plans like Discovery can provide financial assistance for treatment.