Discovery Health 2018 Update - Chalford Wealth Management

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Discovery Health 2018 Update - Chalford Wealth Management
Discovery Health 2018 Update
Discovery Health 2018 Update - Chalford Wealth Management
Make people healthier and
enhance and protect their lives
Discovery Health 2018 Update - Chalford Wealth Management
Sustainability and affordability   Extensive cover for healthcare   Digital health technology
Discovery Health 2018 Update - Chalford Wealth Management
Discovery Health Medical Scheme | Sustained outstanding
performance
Membership growth                          Stability                         Affordability and quality

>43 000 55%                                26.3% R14.2bn                     Lowest premiums in the
                                                                             scheme market
  Net new lives     Market share           Solvency        Reserves

                                                                             -15.1%Premium relativity
                                                                             In-hospital claims payout ratio

                                                                             97%

  2012    2013    2014   2015      2016   2012   2013   2014   2015   2016

 Next 10 largest open schemes’            Next 10 largest open schemes’
 membership decreased by                  solvency decreased by
 13,045 lives                             0.5%
Discovery Health 2018 Update - Chalford Wealth Management
Caring for members with complex and emergency healthcare needs

    10 highest individual member claims paid in 2016 = R 51.1 million

                                 R 6.8m                        Age 37, Heart and lung transplant
                                                                                                             199 years
                                 R 5.8m                        Age 58, Surgical complication
                                                                                                    worth of risk contributions to fund the
                                 R 5.5m                        Age 78, Mitral valve disease                          claim

                                 R 5.2m                        Age 49, Intestinal complications

                                 R 5.2m                        Age 74, Ischaemic heart disease               6 036
                                 R 5.0m                        Age 65, Chronic renal failure
                                                                                                      individuals claimed over R500 000
                                 R 4.5m                        Age 0, Respiratory failure

                                 R 4.5m
                                                                                                             1 378
                                                               Age 0, Neonate

                                 R 4.3m                        Age 25, Congestive cardiac failure

                                 R 4.3m                        Age 42, Cardiomyopathy                individuals claimed over R1 million

Notes: Assumes a risk contribution of R2,853 per average member per month
Source: DHMS data
Discovery Health 2018 Update - Chalford Wealth Management
Our social mandate | Curbing Medical Inflation

                                Drivers of claims inflation (2008 – 2017)

                                                                                            11.3%
                                                                             1.8%

                                                    2.9%

                     6.1%     0.5%

                    CPI     Tariffs            Demand side                  Supply side    Claims inflation
                                                utilisation                  utilisation

Source: DHMS data
Discovery Health 2018 Update - Chalford Wealth Management
Our social mandate | Curbing Medical Inflation

                                Drivers of claims inflation (2008 – 2017)

                                                                                            11.3%
                                                                             1.8%

                                                    2.9%

                     6.1%     0.5%

                    CPI     Tariffs            Demand side                  Supply side    Claims inflation
                                                utilisation                  utilisation

Source: DHMS data
Discovery Health 2018 Update - Chalford Wealth Management
Our social mandate | Curbing Medical Inflation

                                Drivers of claims inflation (2008 – 2017)

                                                                                            11.3%
                                                                             1.8%

                                                    2.9%

                     6.1%     0.5%

                    CPI     Tariffs            Demand side                  Supply side    Claims inflation
                                                utilisation                  utilisation

Source: DHMS data
Discovery Health 2018 Update - Chalford Wealth Management
Contribution increases typically range between CPI + 3% and CPI +
5%
                                      Annualised increases since 2007 relative to CPI
     5.00%

     4.50%                                                                                                         4.47%

     4.00%

     3.50%                                                                                                         3.50%

     3.00%                                                                                                         3.00%

     2.50%

     2.00%

     1.50%

     1.00%

     0.50%

     0.00%
             2008   2009       2010         2011         2012          2013        2014        2015      2016   2017

                           DHMS actual        Next 7 largest open schemes actual     Target at CPI +3%
Discovery Health 2018 Update - Chalford Wealth Management
Medical scheme contribution increases linked CPI

                                  Inflation over the 12 months to July 2017

                                                                                                               8.9%
                                                                                                               average CPI+3%
                                                                                                               Aug 2016 – Jul 2017
                                        6.8%
                       6.4%      6.6%           6.6%     6.3%
              6.1%                                                 6.1%
      5.9%
                                                                           5.3%      5.4%    5.1%
                                                                                                      4.6%

     Aug-16   Sep-16   Oct-16   Nov-16 Dec-16   Jan-17   Feb-17   Mar-17   Apr-17   May-17   Jun-17   Jul-17
Discovery Health Medical Scheme 2018 contribution increases

                                 Plan level increases for 2018                                     Proportion of members

                                                       8.9%   average CPI+3%*

                                                                                                           3%
                       8.30%   8.30%                                 8.30%          7.9%
                                       7.60%             7.60%                  weighted average
     7.30%                                     7.30%
                                                                                  contribution                     39%
                                                                                    increase

                                                                                                    58%

*Aug 2016 – Jul 2017
Sustainability and affordability   Extensive cover for healthcare   Digital health technology
Benefit updates 2018

Day-to-day extender benefit                Smart Plan Over-the-counter                 Chronic Illness Benefit
                                           medicine benefit
Day-to-day Extender Benefit will cover:*   Cover for Schedule 0 – 2 medicine from      Introduction of Premier Plus GP network
 GP consultations through                 a network pharmacy:                         as Designated Service Provider for
  HealthID-engaged GPs                      Classic Smart Plan: R600 per family per   HIVCare
 Casualty visits for children at a          year                                       Applicable to members on Priority,
  network facility                          Essential Smart Plan: R400 per family       Saver, Smart, Core and KeyCare plans
                                             per year                                   Full cover at any of 2,100 GPs
 Cover for pathology, acute medicine                                                    registered on the Premier Plus GP
  and external medical items will be                                                     network
  discontinued
Limits, co-payments, deductibles, chronic and income bands
update for 2018

       Benefit limits                                                                                    Increase

                                                                                                Reduction from R38,200 to
       Hip and knee prosthesis limits for those members who choose to use a non-preferred
                                                                                                R30,000 for non-preferred
       provider. Full cover (no limit applies) at a preferred provider
                                                                                                        provider

       Co-payments and deductibles                                                                Plan specific increase

       Thresholds                                                                                 Plan specific increase

       Surgical items                                                                                Surgical inflation

       KeyCare Income Band thresholds                                                                        5.6%

       There will be no changes to the chronic illness benefit formulary and Chronic Drug Amounts for 2018

       MRI/CT scans 0% increase

       Oncology, EMI, Spinal devices benefit limits remain unchanged
Protecting Young Families right from the start

   MEDICAL AID AND TOOLS TO SUPPORT YOU              WELLNESS              LIFE INSURANCE          CAR AND HOME INSURANCE

    Comprehensive        Access to immediate      Encouraging good       Protecting your child’s   Keeping you and your
   maternity and post-    support, advice and    habits in children so         education             family safe on the
     birth benefits      tools through the My   they become healthy                                         road
                           Pregnancy and My              adults
                         Baby programmes on
                           the Discovery app
Comprehensive maternity and post-birth benefits
 During Pregnancy
                                                                                                                                                                    Private ward*
                            Ultrasound scans and prenatal screening                     Essential registered devices*                               •    3 nights in a private ward up to R1 880 per
                            •   2 ultrasound scans                                      •       Benefit limit of R5,000, with a co-                      day for caesarian section births
                            •   1 Nuchal Translucency or Non-Invasive Prenatal                  payment of 25% per device, at a                     •    2 nights in a private ward for natural
                                Test (NIPT) DNA test                                            registered healthcare provider                           deliveries
                                                                                        •       Nebulizers are excluded                             •    Subject to hospital ward availability

                    Antenatal consultations                               Blood tests                                        Antenatal classes or consultations with a nurse
           •    Exec and Comp plans: 12                        •   HIV                      •      RPR and TPHA              •    Antenatal classes
                consultations                                  •   Rubella                  •      Glucose                   •    Baby visits
           •    Priority, Saver, Core and KeyCare              •   Rh antigen               •      Haemoglobin               •    Consultations with a nurse at home or at a clinic
                plans: 8 consultations                         •   A, B and O antigen       •      bHCG                      •    5 consultations to use during pregnancy, and/or up until baby’s
                                                                                                                                  second birthday. Up to the DHR, or agreed rate for Discovery
                                                                                                                                  HomeCare

*Comp and Exec plans only
Comprehensive maternity and post-birth benefits
For two years from birth

                           GP and specialist visits                                          Nutrition assessment                                       Lactation consultation
                           •   2 visits at a GP/ paediatrician/ENT, up until baby’s          •    1 visit to a dietician                            •    1 consultation with a
                               second birthday                                                                                                           registered lactation
                           •   All plans excl. KeyCare Access which is for the first 12                                                                  specialist
                               months and only for babies born into the Scheme
                               (existing KeyCare Access rule)

Antenatal classes or consultations with a nurse                      Six week consultation                                 Mental Health
•    Antenatal classes                                               •    1 postnatal consultation at a midwife/GP/gynae   •   2 consultations at a psychologist
•   Baby visits                                                                                                                or counsellor
•   Consultations with a nurse at home or at a clinic
•   5 consultations to use during pregnancy, and/or up until
    baby’s second birthday. Up to the DHR, or agreed rate for
    Discovery HomeCare
Access to immediate support, advice and guidance

            My Pregnancy and My Baby Programmes on the Discovery app

   Discovery portfolio              My Pregnancy                  Pregnancy         Maternity       My Baby       Kids digital
         page                        dashboard                   care checklist   cost estimator   dashboard   vaccination record

App functionality will be released in a phased approach from 1 January 2018
Enhanced Executive Plan

                                        Enhanced Global Treatment Platform

• 300% of the Discovery Health rate     • International Second Opinion
  for specialists                         Services from Cleveland Clinic,
                                          funded in full from risk
• 200% of the Discovery Health rate
  for other healthcare professionals    • Overseas Treatment Benefit
• Private ward cover in any private        − R750 000 to cover the cost of medical
  hospital                                   treatment not available in South Africa

• Highest limits for prescribed            − R300 000 to cover the cost of voluntary
                                             medical treatment outside South Africa
  medication, dental, allied and
  other benefits                        • International Travel Benefit providing
                                          cover of US$ 1 million per member
• Additional chronic medication cover
                                          for medical emergencies while
  and access to an exclusive list of
                                          traveling outside SA
  brand medicine

                                        Restructured day-to-day benefits
Restructuring cover for day-to-day and in-hospital healthcare
expenses
 Currently, day-to-day benefits cover the cost of in-hospital treatment by healthcare professionals. In 2018, these costs will be covered by the Hospital Benefit, and the
                                            Medical Savings Account will be exclusively for out-of-hospital medical expenses.

2017 Benefit structure                                                                      2018 Benefit structure

                            •    Covers day-to-day                                                                  •   Covers day-to-day
                            •    In-hospital related accounts
                                    − IH treatment by specialists: 300% DHR
                                    − IH treatment by other healthcare                                ATB
                                       professionals: 100%
              ATB
                                                                                                                                                     IH related accounts paid
                                                                                                                                                     from the hospital benefit
                                                                                                                                                     •    IH treatment by
                                                                                                                    R2,466                                specialists: 300%
                                   R69 average self-payment gap                                      SPG            (principal member)                    DHR
                                                                                                                                                     •    IH treatment by
                            •    Covers day-to-day                                                                  •   Covers day-to-day                 other healthcare
                            •    In-hospital related accounts                                                                                             professionals: 200%
                                    − IH treatment by specialists: 300% DHR
             MSA                    − IH treatment by other healthcare                               MSA
                                                                                                      MSA
                                       professionals: 100%
Introducing DrConnect | Doctor advice. On your device

                                Ask questions               Consult doctors            Get health tips

           Screen shot

                             105 000 doctors              Video, voice or text        Personalised tips
                                     worldwide              follow up consultations    and checklists to for
                             >5,5 billion questions and                                 your health goals
                                       answers
Introducing DrConnect | Doctor advice. On your device

                                •   When members have asked a question, the library of curated content
                                    will provide answers to commonly asked questions that have been
                                    answered by doctors

                                •   If the answer is not immediately available, the question will be
                                    answered by available doctors

                                •   Other doctors will be able to agree with the answers given or will
                                    provide additional information

                                •   The highest rated answers to questions will be shown first, so
                                    members always have access to high quality peer-reviewed medical
                                    advice anywhere, anytime.

                                    Members need to download the Discovery DrConnect app
    105 000 doctors                 once and then the DrConnect functionality will be available,
           worldwide
                                    and accessed directly from the Discovery app.
   >5,5 billion questions and
             answers
Introducing DrConnect | Doctor advice. On your device

                                 •   If the member’s doctor is available for follow-up virtual consultations,
                                     these can be booked and conducted using the app

                                 •   Virtual follow-up consultations can only be conducted with a doctor
                                     that the member has visited in the past 12 months

                                 •   These consultations will be paid from the member’s available day-to-
                                     day benefits

                                     Members need to download the Discovery DrConnect app
     Video, voice or text            once and then the DrConnect functionality will be available,
       follow up consultations
                                     and accessed directly from the Discovery app.
Discovery Health Medical Scheme

                     PrimaryCare                                                                                           Gap Cover

                                                Discovery                                         Discovery        Discovery
                                              for Corporates                                      Gap Cover       PrimaryCare

Discovery PrimaryCare is not a product of the Discovery Health Medical Scheme
Discovery Gap Cover is not a product of the Discovery Health Medical Scheme
HealthyCompany 2018
                                            D I S C O V E R Y F O R C O R P O R AT E S
                                                                                         HealthyCompany Care
                                                                                         • Seamlessly stratifies employees according to
                                                                                           their risk profile in three areas of wellbeing
HealthyCompany Screening                                                                 • Proactively triggers relevant interventions
Four screening solutions, tailored to the                                                • Multiskilled coach guides employees every step
needs of the company                                                                       of the way, through a fully-integrated mobile
                                                                                           app

                                                                                             Physical        Emotional        Financial
                                                                                             wellness        wellness         wellness

                                                                                               Episode management

                                                                                               Ongoing management

                                                                                               Prevention
                                                              Wellness
                                                               Days
HealthyCompany Insights
Integrates data collected from the
                                                                                          Suite of educational content for all employees:
Screening and Care programmes and
                                                                                          • Library of doctor-generated advice
provides employee-and employer-
                                                                                          • Assistance with financial planning
relevant dashboards
                                                                                          • Access to legal experts
Discovery Health Medical Scheme

                     PrimaryCare                                                                                           Gap Cover

                                                 Discovery                                       Discovery         Discovery
                                               for Corporates                                    Gap Cover        PrimaryCare

Discovery PrimaryCare is not a product of the Discovery Health Medical Scheme
Discovery Gap Cover is not a product of the Discovery Health Medical Scheme
Discovery Gap Core

In-hospital Specialist Gap Cover
Provides an additional 200% of the medical scheme plan rate for in-hospital specialist bills
Hospital Admission Benefit Extender
Provides additional cover for specific in-hospital shortfalls related to hospital
admission
                             Annual fund value per policy

                                           VITALITY STATUS
    Family
                None/ Blue     Bronze           Silver        Gold    Diamond
   structure

                  R5,000       R6,250          R7,500        R8,750   R10,000

                  R2,500       R3,125          R3,750        R4,375   R5,000

                                                                                                       In-hospital
                                                                                                      Specialist Gap
Oncology Benefit Extender                                                                                 Cover
Provides cover for co-payments related to oncology treatment plan
 Annual benefit per person
                                                                                       Hospital Admission Extender Benefit
 Executive and Comprehensive plans               R75,000

 Other plans                                     R30,000
Discovery Gap Cover: Core versus Comprehensive

                                     Discovery Gap Core                                                        Discovery Gap Comprehensive
 In-hospital
  Specialist   Provides cover of up to 200% of the medical scheme rate                  Provides cover of up to 200% of the medical scheme rate
 Gap Cover

               Additional cover for in-hospital shortfalls related to admission         Additional cover for in- and out-of-hospital shortfalls related to admission

                                    Annual fund value per policy                                                   Annual fund value per policy

  Hospital                                       VITALITY STATUS                                                                      VITALITY STATUS
 Admission      Family      None/                                                                   Family       None/
   Benefit                              Bronze       Silver         Gold      Diamond     Plan                               Bronze       Silver        Gold    Diamond
               structure     Blue                                                                  structure      Blue
  Extender
                           R5,000      R6,250       R7,500         R8,750     R10,000    MSA                    R10,000    R12,500       R15,000      R17,500   R20,000
                           R2,500      R3,125       R3,750         R4,375     R5,000     plans                  R5,000      R6,250       R7,500       R8,750    R10,000

                                                                                        Non-MSA                 R5,000      R6,250       R7,500       R8,750    R10,000
                                                                                         plans                  R2,500      R3,125       R3,750       R4,375    R5,000

                Annual benefit per person                                               Annual benefit per person
 Oncology
  Benefit       Executive and Comprehensive plans                           R75,000     Executive and Comprehensive plans                          R100,000
 Extender
                Other plans                                                 R30,000     Other plans                                                 R40,000
Discovery Gap Cover premiums

                                           Executive and Classic plans    Essential and Coastal plans
                  Age at Entry of Oldest
                                           Single                Family   Single               Family
                       Beneficiary

  Discovery Gap           0 – 54           R135                   R230    R250                 R560
  Comprehensive
                         55 – 64           R230                   R340    R455                 R865

                           65+             R290                   R475    R605                 R1,135

                                           Executive and Classic plans    Essential and Coastal plans
                    Age at Entry of
                                           Single                Family   Single               Family
                   Oldest Beneficiary

  Discovery Gap           0 – 54            R90                   R150    R165                 R395
       Core
                         55 – 64           R150                   R180    R390                 R575

                           65+             R180                   R265    R575                 R920
Discovery Health Medical Scheme

                     PrimaryCare                                                                                          Gap Cover

                                                 Discovery                                        Discovery        Discovery
                                               for Corporates                                     Gap Cover       PrimaryCare

Discovery PrimaryCare is not a product of the Discovery Health Medical Scheme
Discovery Gap Cover is not a product of the Discovery Health Medical Scheme
PrimaryCare Trauma Benefit

Overview                                                                                    Member Journey
Provides access to emergency private healthcare services for a broad range of
traumatic events:

            • Cover for medical evacuation services to the nearest private hospital
              facility in our network

   +                                                                                           Involved in a
                                                                                            traumatic incident
                                                                                                                  Call NetCare 911
                                                                                                                   for assistance
                                                                                                                                       NetCare arrives on
                                                                                                                                         the scene and
            • Access to medical treatment in a casualty facility in our network.                                                       contacts Discovery

   +
              Member will not have to pay upfront for these medical services                                                            to confirm cover

            • Up to R100 000 per admission for hospital and related
              accounts, at a private hospital in our network
            • Once the limit is reached and further medical treatment is
              required the member will be transferred to a public hospital
               o Member will be responsible for any costs over this limit if
                  they choose to remain in the network facility

The following traumatic events are covered:
• Burns
• Head injuries                                                                             Discovery confirms   Paramedics assess     If taken to private healthcare
• Loss of an arm, hand, leg or foot                                                            that Trauma         condition and        facility, stabilized in casualty
• Near drowning                                                                              benefit is active    decide on most        facility, moved to in-patient
• Poisoning or a serious reaction that may cause death                                       and that trauma          clinically      hospital treatment (if required)
                                                                                             event is covered    appropriate course     then discharged or taken to
• Injuries resulting from a crime, sexual assault, a fall, a car accident or an injury at
                                                                                                                     of action                        state
  work
PrimaryCare Wellness-Related Benefits

  From 2018, PrimaryCare will include wellness benefits:                    Combined Wellness Experience
                                                                            (DHMS and PrimaryCare employees)

          • PrimaryCare Wellness Experience                                 • Similar experience (aesthetics and feel) for all employees
             o For employees only                                           • Premier event setup, with additional pods for PrimaryCare
             o Requires a minimum of 30 members at an employer site            o All employees book their timeslots and register for the event at the
             o Available once a year                                             registration station
             o Includes BMI, blood pressure, cholesterol, glucose and HIV      o PrimaryCare members will complete a manual registration and consent
               testing                                                           form in the PrimaryCare booth with the consultant
             o No additional fee                                               o Traditional screening for PrimaryCare members (i.e. total cholesterol and
                                                                                 blood glucose versus full lipogram and HbA1c for at-risk members on
                                                                                 DHMS)

          • Vitality Move

          • HealthyCompany Care
            o April 2018 go-live
            o Additional fee payable
PrimaryCare Pricing

Pricing is dependent on the employer’s unique circumstances, including:    Waiting period:
•    Demographic profile of employees                                      • No exclusions and no waiting periods for employees
•    Compulsory or voluntary nature of PrimaryCare membership              • 6-month waiting period for dependants
•    PrimaryCare option selected                                              o Waived if dependants are added on the policy when the employee joins
                                                                              o General window period from 1 January 2018 to 31 March 2018, allowing
                                                                                 all existing employees on PrimaryCare to add their dependants
Indicative Pricing

Discovery PrimaryCare Essential
                                                                           General principle on split risk between DHMS and PrimaryCare:
Indicative fees          Employee            Spouse                Child   • If employer group on DHMS with an underwriting concession looking to
Monthly fee                                                                  introduce split risk
                           R158                R158                R158
(incl. VAT)                                                                   o DHMS no longer able to offer an underwriting concession to any
                                                                                  employee in income band where PrimaryCare offered
Trauma Benefit              R50                R50                 R25
                                                                              o Underwriting concession would still apply for employees earning above
Combined                   R208                R208                R183           income band, where membership of DHMS is compulsory
                                                                              o Includes employees that would become eligible to move from the
Discovery PrimaryCare Comprehensive                                               PrimaryCare to DHMS by virtue of an increase in their earnings

Indicative fees         Employee             Spouse                Child
Monthly fee
                           R269                R269                R174
(incl. VAT)
Trauma Benefit              R50                R50                 R25
Combined                   R319                R319                R199
Get healthy. Get rewarded.
     Discovery Vitality | 2018
Vitality 2018

      MOVE ACTIVE   PURPLE
Move                               Active                            Vitality                                Purple

Overview      Brings Vitality to every DHMS     Designed for 18 to 30 year olds,   Multi-faceted wellness programme   For the discerning few. Offers
              member, and rewards them for      Vitality Active members get        that encourages and rewards        enhanced benefits in addition to
              taking steps towards a healthy    rewarded for getting active and    members as they get healthier      those available through the Vitality
              lifestyle                         driving well                                                          programme.

Eligibility   • DHMS members                    • DHMS members                     • DHMS members                     • DHMS Executive plan members*
              • Discovery In-House Scheme       • Discovery In-House Scheme        • Discovery In-House Scheme        • Discovery Life Purple
                members                           members                            members                            policyholders*
              • PrimaryCare members             • Discovery Life policyholders     • Discovery Life policyholders     • Discovery Invest Purple
                                                                                                                        policyholders*
                                                                                                                      • Discovery Card Purple
                                                                                                                        cardholders*

                                                                                                                      *requires an active Vitality policy

Premium       • Free                            • R40 per adult under 30 per                  M     | R239                         M     | R399
              • Upgrade for R35 per adult per     month                                       M + 1 | R289                         M + 1 | R459
                month                           • R60 per adult 30 or older per               M + 2 | R329                         M + 2 | R499
                                                  month
Discovery Vitality

• Vitality
• VitalityMove
• VitalityActive
• VitalityPurple
Sep-15

Oct-15

Nov-15

Dec-15

Jan-16

Feb-16
Mar-16

Apr-16

May-16

Jun-16

 Jul-16

Aug-16
                                        The success of Active Rewards

Sep-16

Oct-16

Nov-16

Dec-16

Jan-17

Feb-17
Mar-17

Apr-17

May-17

Jun-17
                      >350,000

 Jul-17

Aug-17

Sep-17
                                 +24%

          3 million
Vitality Active Rewards Enhancements: Surprise Rewards

Eligibility
•Vitality members with Vitality Active Rewards. Individuals aged 18+
Vitality Active Rewards Enhancements: Expanding Social Interaction

                                                                                                               •   Members are able to track their progress
          •    Encourage members to participate in
                                                                                                                   relative to friends and overall Vitality Active
               activities or engage in leaderboards                    •   Remove maximum limit of 4 friends
                                                                                                                   Rewards base
          •    Members earn entries into the draw                      •   Team/ social rewards fall away
                                                                                                               •   Leaderboard metrics align with performance
          •    Prize winners are randomly selected                     •   Go live: November 2017
                                                                                                                   metrics on dashboard
          •    Go live: September 2017
                                                                                                               •   Go live: Q1 2018

Eligibility
•Vitality members with Vitality Active Rewards. Individuals aged 18+
Driving longer-term engagement through new booster benefits

    up                           up                           up
    to                           to                           to
Driving longer-term engagement through new booster benefits

     Up to                                              Up to                                            Up to
    100%                                               75%                                               25%

                                               OR                                                   OR

             Buy new shoes up to R2,000                                                                    Buy a road or mountain bike
                                                          Buy a fitness device up to R4,000
                                                                                                                  up to R20,000

                                                          Vitality Active Rewards goals pm

                 0-1       2       3       4                        0-1    2        3          4         0-1       2        3            4
    25%
             +                                         25%      +
HealthyGear      0%      10%      25%     75%                     0%      10%     25%         50%        0%      10%      15%       25%
                                                    HealthyGear
 cash back                                           cash back
Enhanced Vitality Baby

                                             10%
   Receive a Vitality Baby box filled                            Get up to 25% back on selected
     with useful information and                                     nappies and other baby
             exciting gifts                                      essentials at Clicks or Dis-Chem
                                            Off leading brands          with HealthyCare

                                                                                                    Complete Vitality health
                                           Save 10% on an                                             activities as a family,
                                          array of items for                                          engage in exclusive
                                         your baby at A-Zee                                         Disney-inspired content,
                                         Baby, Babies R Us,                                          and you will stand the
                                           Born Fabulous,                                            chance to win monthly
                                        Takealot & Toys R Us                                            Disney hampers!

Retail benefit available from Q2 2018
Discovery Vitality

• Vitality
• VitalityMove
• VitalityActive
• VitalityPurple
Vitality Move emphasises key health risks in SA

                                                                             -30%
                                                                                        -48%
    23%

                47%

                                  13%

                                                 27%

   Physical inactivity                  Obesity           Not
                                                       screened
                                                                  Screened   Screened
                                                                              & BMI
                                                                                        Screened &
                                                                                        high levels
                         Global   South Africa                               in-range   of physical
                                                                                          activity
Activate Vitality Move for free to win HealthyFood shopping
rewards at Pick n Pay

  Swipe your                       Stand a chance to            Do a Vitality Health Check and
  card every time you shop           win back your             stand a chance to win back your
        at Pick n Pay                                  spend                         spend
Upgrade for R35 per month and get up to R300 back on groceries,
gym and movies

       Get       off         Get up to      in Pick n Pay            Get up to        off movie
      monthly gym fees      shopping rewards every month                tickets every month

                         AND                                   AND
                                               4x                                       4x
                                                    R25                                      R25
                                                    vouchers                                 vouchers
Vitality Move: How to earn rewards

 4x
       R15           Do a Vitality Health Check and immediately get R60 per month in Pick n Pay shopping rewards and R60
       vouchers                                                         per month in movie rewards

  4x
       R20                          If weight is in range, rewards increase to R80 per month in Pick n Pay shopping
       vouchers                                       rewards and R80 per month in movie rewards

                  Weight is in range if:                                                 OR    between 25 and 29.9, with a waist circumference below 94cm in males
                                                BMI is between 18.5 and 24.9
                                                                                               and 80cm in females

 4x
       R25           Achieve 10 or more fitness days and get R100 per month in Pick n Pay shopping rewards and R100 per
       vouchers                                           month in movie rewards

                                                                                          Members that have done their Vitality Health
                  1 fitness day =                                                         Check and achieve 10 or more fitness days per
                                                                                              month receive the maximum reward
                                    1 parkrun   1 gym visit                                        regardless of their weight
                                                              10,000+ steps
                                                              tracked through S-Health
                                                              or Apple Health
Discovery Vitality

• Vitality
• VitalityMove
• VitalityActive
• VitalityPurple
Vitality Active

                                 Get 25% off
                                 gym membership

              Rewards for
        Weekly fitness and
            driving goals
                                 Earn a Vitality status
                  Goal streaks   Supports the Discovery
                                 product range aimed at
                                 young adults
50% off a Discovery Executive Wellness Experience

• 50% discount on the member’s choice of Wellness Experience,
  limited to 1 per adult per policy per year.

                    Prime      Prime Plus     Prestige     Prestige
                                                             Plus
   Retail rate      2,018         4,700        7,200        11,002

   Purple rate      1,009        2,350         3,600         5,501

• Discovery’s Executive Wellness Experience can be done either at
  Discovery’s executive medical centre or in the comfort of their
  own home or office.

• Prime and Prime Plus option are available for home/office visits.

• Prestige and Prestige Plus option are available only at Discovery’s
  executive medical centre.
Elite coaching
  REGION               FACILITY                 SPORT EXPERTS                  ELITE ATHLETES    PROCESS

                                            Dr Jon Patricios
  Gauteng                                   Dr Carol Austin

  Central            Waterfall Sports
                                                          Lindsay Parry
                       Medicine

                                                                                                CONSULTATION
                                               Prof Martin
  Gauteng                                      Schwellnus
   North         High Performance Centre,
                                                               Lindsay Parry
                   University of Pretoria                                                       PERSONALISED
                                                                                                  TRAINING

                                            Dr Kevin Subban
  Kwa Zulu
   Natal         Prime High Performance                                                         MONITORING
                       Institution                       Dennis Jackson

                                               Prof Wayne
  Western                                        Derman                                         MOTIVATION
   Cape          Stellenbosch Academy of
                          Sport
The Purple Spa Collection

              Sun City (North West)
              The Table Bay Hotel (Western Cape)
              The Boardwalk Hotel (Port Elizabeth)
              The Maslow Hotel (Gauteng)
              Mount Nelson Hotel ( Western Cape)
              Pepper Club Hotel (Western Cape)                        Mount Grace Country House and Spa (Gauteng)
              Mont Rochelle (Virgin Group) (Western Cape)             Melrose Arch Hotel (Gauteng)
              Luxury Moore Hotel (Gauteng)                            Irene Country Lodge (Gauteng)
              12 Apostles Hotel (Western Cape)                        15 on Orange Hotel (Western Cape)
              Lion Sands (More Group) (North West)                    Audacia Manor Boutique Hotel (Kwa-Zulu Natal)
              Tinga Lodge (More Group) (North West)
              Heavenly Spa by Westin (Western Cape)
              Babylonstoren (Western Cape)
              Thorny Bush Luxury Game Lodge Collection (North West)
              Umngazi River Lodge (Kwa-Zulu Natal)

              Radisson Blu (Western Cape)
              Hyatt Regency (Gauteng)
              Radisson Blu (Rwanda)                                   Willow Stream Spa, Zimbali (Kwa-Zulu Natal)
              Ivory Tree Game Lodge (Gauteng)
              Sabi Sabi Earth Lodge (near Kruger National Park)
              Thornybush Game Lodge (near Kruger National Park)
              Mara Bushtops (Kenya)
              White Pearl Spa (Mozambique)
                                                                      Fairlawns Boutique Hotel & Spa (Gauteng)
              The Turbine (Knysna)
              Walkersons Hotel (Mpumalanga)
Using the Vitality Purple Spa Collection benefit

                                                                       50%
                                                                       40%
                                                                       30%
                                                                       25%
                                                                       20%

Contact your       Specify your       Receive your   Enjoy your      Pay the
   private          chosen spa         activation    treatment     discounted
 consultant                           confirmation                   amount,
                                                                  determined by
                                                                   your Vitality
                                                                      status
Vitality Purple Boosters

                       Device                            OR                   Bike              OR                Golf
                  (Garmin, Suunto)                                         (Cycle Lab)                         (Pro shop)

                                            Contact your Private Consultant to activate your benefit

                  Select your device                                                                   Buy your golf equipment at
                                                               Buy a new bike at Cycle Lab
           Consultant facilitates payment and delivery                                                          ProShop

                                           Maximise your discount by increasing your Vitality status

            Up to 50% cashback every                            Up to 25% cashback every             Up to 25% cashback, paid at the
             month, over 24 months                               month, over 36 months                end of the month of purchase

       Cashback is determined by the member’s Vitality status at the time of cashback payment
Vitality Purple eligibility and premiums

Vitality Purple is offered on a policy level to members who satisfy the following criteria:

•   Members must have a standard Vitality policy to be able to activate Vitality Purple

•   Members on KeyFIT, Vitality Move, Vitality Active and any other non-Standard Vitality package are not eligible for
    Vitality Purple.

•   Members must have an active Discovery Purple product (Purple Life, Purple Card, Purple Invest, or the Executive
    Plan on the Discovery Health Medical Scheme) to be eligible for Vitality Purple.

                       2018 Premiums                          M                            M+1   M+2

                             Vitality                        239                           289   329

                         Vitality Purple                     399                           459   499

                   Vitality Purple premium includes the full standard Vitality programme
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