A new report from Discovery Health indicates that members of its medical scheme are living longer, with death rates falling across age groups. However, many are managing multiple chronic conditions, increasing healthcare complexity and costs.
The HealthTrend26 report, based on data from over 2.7 million members, found death rates declined 5.6% over the past decade. The largest drop occurred among those aged 24 to 39, at 16.3%, while rates for members aged 75 and older fell 7.8%.
Dr Ron Whelan, CEO of Discovery Health, attributed the changes to earlier diagnosis, improved clinical care and behavioural shifts. One in three members now lives with a chronic condition, and more than half of those have multiple conditions.
Cardiovascular disease, diabetes, cancer and mental health issues drive 84% of chronic spending. In 2025, the top 1% of members accounted for 33% of total claims at R24.7 billion. Cancer survival rates improved 48% over 15 years, and oncology life expectancy rose by 7.1 years.
Mental health prevalence among 18- to 30-year-olds increased 80% from 2015 to 2025. Dr David Jankelow noted the need for lifestyle changes to address cardiovascular risks across South Africa.