Can I expect out-of-pocket costs for addiction rehab with Discovery Medical Aid?

Yes, when utilising Discovery Medical Aid for addiction rehab, you may face out-of-pocket costs for services that are not covered under the scheme. These could include co-payments, deductibles, or expenses associated with non-covered services【13†source】. It is important for members to understand that while Discovery Medical Aid provides coverage for drug and alcohol rehabilitation as it is classified under Prescribed Minimum Benefits (PMBs), there may be additional costs involved depending on the specific treatment plan and duration of stay.

Discovery Medical Aid covers both inpatient and outpatient treatment, medication, and therapy sessions for substance abuse treatments【13:2†source】. The scheme also offers access to a 24/7 helpline, online support groups, and a network of addiction specialists, which may mitigate some concerns and out-of-pocket expenses by providing alternative support mechanisms.

However, members should be aware that the number of days covered for rehab by Discovery Medical Aid varies by plan, but they often provide coverage for a standard period which can be up to 21 days【13:5†source】. For treatments extending beyond this period or involving alternative therapies and extended inpatient stays not covered by Discovery Medical Aid, members will likely encounter additional out-of-pocket costs.

Given these variables, it is crucial for individuals considering treatment at MyRehab Dual Diagnosis Addiction Centres to carefully review their Discovery Medical Aid plan or contact Discovery directly to understand their coverage fully. This includes inquiring about the extent of coverage for addiction treatment and any requirements for pre-authorisation.

Should you face uncertainties about your insurance coverage or require assistance in navigating the specifics of your Discovery Medical Aid plan, MyRehab’s admissions team is here to help. Our team can guide you through the process, from verifying your benefits and obtaining pre-authorisation to providing a clear understanding of any potential out-of-pocket expenses. We aim to ensure that financial considerations do not become a barrier to accessing the comprehensive care you need for a successful recovery journey.

Feel free to reach out to discuss how MyRehab can work with your Discovery Medical Aid coverage to support your recovery. Remember, taking the step towards treatment is an act of strength, and we’re here to support you every step of the way.