Coastal Core

Contributions

Dependant rules: max 3 children, under 21.

In-hospital

Hospital network

Coastal network hospitals only at 100% of DHR.

Specialist rate

i

100% of DHR in hospital.

Specialist payment gap

i

Not covered.

Day-to-day

Day-to-day benefits

Not offered — pay day-to-day from your pocket.

Savings account (MSA)

i

—

Above-Threshold Benefit

i

Not offered.

Chronic & specialised

Chronic conditions

CDL conditions only (27).

Specialised medicines

Specialised Medicine Benefit applies.

Oncology & innovation

Oncology

Full oncology at scheme rate.

Innovation / advanced illness

Advanced Illness Benefit applies.

Maternity & mental health

Maternity programme

Antenatal and post-natal benefits.

Mental wellbeing

Counselling and psychiatry per plan limits; chronic mental illness on CDL list at PMB level.

Wellness & extras

Wellness programme

Vitality programme (optional separate subscription, not a scheme benefit).

Africa evacuation

Emergency evacuation in sub-Saharan Africa via Discovery 911.

International travel

Not covered.

ART (assisted reproductive)

Not covered.