GP network

You can choose to consult a GP on the Discovery Health GP network. Claims for consultations will be submitted directly to the Scheme and be paid from available funds in your MSA or by the Scheme if PMB. The amount the GP will claim for a consultation is a fixed rate, as agreed between our administrator and the network GP. This rate is available from the Call Centre on 0860 222 633. Before changing to a network GP, compare your current doctor's rate to the network rate. In some instances the network rate might be higher.

Your network GP may also perform certain procedures (as per the network agreement) which will be submitted directly to the Scheme and be paid from available fund in your MSA or by the Scheme if PMB. Your network GP will not ask you for payment upfront, nor charge you a co-payment for consultations and most procedures. If the network GP performs a procedure not agreed with the administrator, or uses medicines or materials that are charged above the Scheme Reimbursement Rate (SRR), there may be a co-payment. Choosing to consult a GP on this network is voluntary.

You can call us with the specific procedure code that your doctor needs to perform and we will confirm funding. You can find the nearest participating GP using the 'provider search tool' or this list after logging in as a member, or by calling the call centre. If you choose to use a GP that is not on the network, the Scheme will reimburse your consultations and procedures at the normal SRR.