Discovery Card Health Claims Level Medical schemes administered by Discovery Health

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1 Discvery Card Health Claims Level Medical schemes administered by Discvery Health If yu belng t ne f the fllwing medical schemes yu will need t lcate yur Scheme and the table t use, in rder t see yur claims level. Yur claims categry fr the year is determined by yur ttal day-t-day expenses, which includes all claims that yu pay yurself and accumulate twards yur threshld (Self-payment Gap), and claims that are paid frm yur Abve Threshld Benefit (ATB), if applicable. The belw tables are based n yur ttal claims submitted in the last calendar year. Angl Medical Scheme Anglvaal Grup Medical Scheme Families (based n health plicy cmpsitin) Claims categry Plus Cmprehens ive Cre Saver ; Basic ; Traditinal Level 1 claimer R0-R5 499 R0-R1 499 R0-R199 R0-R1 199 Level 2 claimer R5 500-R R1 500-R4 999 R200-R1 499 R1 200-R3 999 Level 3 claimer R R R5 000-R9 499 R1 500-R2 999 R4 000-R6 499

2 Level 4 claimer R R R9 500-R24 R3 000-R7 499 R6 500-R Level 5 claimer R R R R Claims categry Plus Cre Saver ; Basic ; Traditinal R0-R99 R0-R349 Level 2 claimer R1 500-R7 999 R600-R1 999 R100-R499 R350-R1 499 Level 3 claimer R8 000-R R2 000-R2 999 R500-R1 499 R1 500-R2 499 Level 4 claimer R R R3 000-R9 999 R1 500-R3 499 R2 500-R6 499 Level 5 claimer R R R R BMW Emplyees Medical Aid Sciety Glencre Medical Scheme LA Health Medical Scheme Families (based n benefit ptin) Claims categry LA LA Cre; LA LA Fcus LA KeyPlus Active Level 1 claimer R0-R5 499 R0-R3 999 R0-R1 499 R0-R1 199 Level 2 claimer R5 500-R R4 000-R9 499 R1 500-R4 999 R1 200-R3 999 Level 3 claimer R R R95 00-R R5 000-R9 499 R4 000-R6 499 Level 4 claimer R R R R R9 500-R R6 500-R9 999 Level 5 claimer R R R R Page 2 f 7

3 Claims categry LA LA Cre; LA LA Fcus LA KeyPlus Active Level 1 claimer R0-R1 499 R0-R999 R0-R599 R0-R349 Level 2 claimer R1 500-R7 999 R1 000-R4 999 R600-R1 999 R350-R1 499 Level 3 claimer R8 000-R R5 000-R9 999 R2 000-R2 999 R1 500-R2 499 Level 4 claimer R R R R R3 000-R9 999 R2 499-R6 799 Level 5 claimer R R R R Lnmin Medical Scheme Level 1 claimer R0-R1 199 R0-R349 Level 2 claimer R1 200-R3 999 R350-R1 499 Level 3 claimer R4 000-R6 499 R1 500-R2 499 Level 4 claimer R6 500-R9 999 R2 499-R6 799 Level 5 claimer R R Malcr Medical Aid Scheme Families (based n plan) Claims categry A and B C Level 1 claimer R0-R5 499 R0-R1 499 Level 2 claimer R5 500-R R1 500-R4 999 Level 3 claimer R R R5 000-R9 499 Level 4 claimer R R R9 500-R Level 5 claimer R R Claims categry A and B C Level 2 claimer R1 500-R7 999 R600-R1 999 Level 3 claimer R8 000-R R2 000-R2 999 Level 4 claimer R R R3 000-R9 999 Level 5 claimer R R The M-Med f the Naspers Medical Fund Level 1 claimer R0-R3 999 R0-R999 Level 2 claimer R4 000-R9 499 R1 000-R4 999 Level 3 claimer R9 500-R R5 000-R9 999 Level 4 claimer R R R R Page 3 f 7

4 Level 5 claimer R R Naspers Medical Fund Netcare Medical Scheme Level 1 claimer R0-R1 199 R0-R349 Level 2 claimer R1 200-R3 999 R350-R1 499 Level 3 claimer R4 000-R6 499 R1 500-R2 499 Level 4 claimer R6 500-R9 999 R2 499-R6 799 Level 5 claimer R R Quantum Medical Aid Sciety Families (based n plan) Claims categry Saver Level 1 claimer R0-R5 499 R0-R1 499 Level 2 claimer R5 500-R R1 500-R4 999 Level 3 claimer R R R5 000-R9 499 Level 4 claimer R R R9 500-R Level 5 claimer R R Claims categry Saver Level 2 claimer R1 500-R7 999 R600-R1 999 Level 3 claimer R8 000-R R2 000-R2 999 Level 4 claimer R R R3 000-R9 999 Level 5 claimer R R Medical Aid Scheme Families (based n benefit ptin) Claims categry Classic Standard Level 1 claimer R0-R5 499 R0-R1 499 R0-R Page 4 f 7

5 Level 2 claimer R5 500-R R1 500-R4 999 R1 200-R3 999 Level 3 claimer R R R5 000-R9 499 R4 000-R6 499 Level 4 claimer R R R9 500-R R6 500-R9 999 Level 5 claimer R R R Claims categry Classic Standard Level 1 claimer Level 2 claimer Level 3 claimer Level 4 claimer Level 5 claimer Retail Medical Scheme Families (based n plan) Claims categry Plus Level 1 claimer R0-R3 999 R0-R199 Level 2 claimer R4 000-R9 499 R200-R1 499 Level 3 claimer R9 500-R R1 500-R2 999 Level 4 claimer R R R3 000-R7 499 Level 5 claimer R R : Claims categry Plus Level 1 claimer R0-R999 R0-R99 Level 2 claimer R1 000-R4 999 R100-R499 Level 3 claimer R5 000-R9 999 R500-R1 499 Level 4 claimer R R R1 500-R3 499 Level 5 claimer R R TFG Medical Aid Scheme Tsg Sun Grup Medical Scheme Families (based n plan) Page 5 f 7

6 Claims categry Classic Classic Saver Level 1 claimer R0-R5 499 R0-R1 499 Level 2 claimer R5 500-R R1 500-R4 999 Level 3 claimer R R R5 000-R9 499 Level 4 claimer R R R9 500-R Level 5 claimer R R Claims categry Classic Classic Saver Level 2 claimer R1 500-R7 999 R600-R1 999 Level 3 claimer R8 000-R R2 000-R2 999 Level 4 claimer R R R3 000-R9 999 Level 5 claimer R R UKZN Medical Scheme WitsMed Families (based n plan) Claims categry Standard Netwrk Level 1 claimer R0-R1 499 R0-R1 199 Level 2 claimer R1 500-R4 999 R1 200-R3 999 Level 3 claimer R5 000-R9 499 R4 000-R6 499 Level 4 claimer R9 500-R R6 500-R9 999 Claims categry Standard Netwrk Level 1 claimer R0-R599 R0-R349 Level 2 claimer R600-R1 999 R350-R1 499 Level 3 claimer R2 000-R2 999 R1 500-R2 499 Level 4 claimer R3 000-R9 999 R2 499-R6 799 Level 5 claimer R R Page 6 f 7

7 We cmbine yur claims categry and Discvery Card average spend fr the last three mnths, and use the belw table t determine yur Travel Bster. Calculatin matrix fr Travel Bster Claims Average mnthly spend* categry R0- R4,999 R5,000 R9,999 R10,000 14,999 R15,000 R19,999 R20,000 24,999 R25,000 + Level 1 5.0% 7.5% 10.0% 12.5% 15.0% Level 2 5.0% 5.0% 7.5% 10.0% 12.5% Level 3 5.0% 5.0% 7.5% 10.0% Level 4 5.0% 5.0% 5.0% Level 5 The fllwing claims will nt be cnsidered when calculating yur claims categry: Optmetry claims Dentistry claims Claims fr childbirth withut cmplicatins The fllwing screening benefits: Bld glucse tests Bld pressure tests Chlesterl tests Bdy Mass Index assessments Mammgrams Pap smears Prstate - specific antigen tests HIV tests Flu vaccines. The fllwing transactins d nt qualify as spend n yur Discvery Card: Cash withdrawals Traveller s cheque purchases Electrnic fund transfers All budget facility transfers Gambling transactins made with yur Discvery Card Yearly Discvery Card and Discvery Miles fees Debit rders Fuel r fuel-related transactins n the DiscveryMtr Card* *Nte: If yu use yur Discvery Card t pay fr yur fuel, yur transactin will g thrugh as a nrmal credit card transactin and add up as qualifying spend. If yu ve registered fr Discvery Miles, yu will als get Discvery Miles fr the purchase Page 7 f 7