The KeyCare Series
The KeyCare Plans offer you affordable cover at the KeyCare network of hospitals and doctors
- Hospital cover in our KeyCare network of hospitals with no overall limit
- An ambulance or helicopter sent to you in a critical emergency
- Cover in our network when you need to see a specialist
- Cover in our network for a gynaecologist and essential antenatal tests when you are pregnant
- Unlimited cover for GP consultations, blood tests, x-rays and medicine in our network on the KeyCare Plus Plan
Your cover in hospital
The cover you need, when you need it
We cover you in any private hospital for emergency and planned hospital admissions that you have authorised with us.
Emergency cover when you need it most
In an emergency, go straight to hospital. If you need an ambulance or helicopter, call 0860 999 911. We will send the help you need. It is important that you, a loved one or the hospital let us know of your admission as soon as possible.
Cover for planned hospital admissions
You have cover in a private hospital in the KeyCare Hospital Network. Call us two days before you go to hospital. You will not have cover if you do not call us.
We cover these procedures in our day surgery network only:
| Adenoidectomy Arthrocentesis (joint injection) Cautery of vulva warts Cataract surgery Circumcision Colonoscopy Cystourethroscopy Diagnostic D & C Gastroscopy Hysteroscopy | Myringotomy Myringotomy with intubation (grommets) Prostate biopsy Proctoscopy Removal of pins and plates Sigmoidoscopy Simple abdominal hernia repair | Simple nasal procedure for nose bleeding (ie nasal plugging and nasal cautery) Tonsillectomy Treatment of Bartholin’s cyst/abscess Vasectomy Vulva/cone biopsy |
Click here to view a list of the KeyCare hospitals
No overall limit
There is no overall hospital limit on your plan. This means that even if you have to stay in hospital for a long time, or if your treatment is very expensive, your cover won’t run out. Some healthcare services and procedures have a limit or we may have rules on how we pay for them.
Your cover for healthcare professionals
Full cover for specialists who we have an agreement with
We will cover approved treatment at healthcare professionals who we have an agreement with in full. These healthcare professionals are also the designated providers for Prescribed Minimum Benefits.
You may have to pay an amount if you use other specialists
If you are treated by a specialist who we don’t have an agreement with, we cover you up to 100% of the Discovery Health Rate. If the specialist charges more than the Discovery Health Rate, you must pay the rest.
Other healthcare professionals
We cover GPs, radiology, pathology and other healthcare services up to 100% of the Discovery Health Rate.
Your cover for investigations
MRI and CT scans
MRI and CT scans are like x-rays but show much more detail. They are used when an x-ray doesn’t show enough. If your scan is related to an approved hospital stay, we pay it from your Hospital Benefit. If it is not, we pay it from your Specialist Benefit, up to R2 300 for each person. We do not pay for MRI or CT scans that are related to conservative back or neck treatment (this is treatment for your back or neck that is not surgery).
Unlimited healthcare services
Most of your in-hospital healthcare services have no overall limit. These are:
- GPs
- Specialists
- Pathology
- Radiology
- Allied healthcare professionals, like physiotherapists
- HIV cover
Limited healthcare services
Only the following healthcare services have a limit:
| Mental health benefit | 21 days for each person |
| Alcohol and drug rehabilitation | 21 days for each person |
| Terminal care benefit | R20 000 for each person in their lifetime |
| Chronic dialysis | We cover these expenses in full as long as we have approved your treatment. You are only covered if you use a doctor in our network. |
DiscoveryCare looks after you in times of need
Your cover for chronic conditions
You have cover for a list of chronic conditions if your medicine is on the KeyCare medicine list. You must get your approved medicine from one of our network pharmacies or from your chosen GP. If you get your medicine anywhere else, you have to pay a 20% co-payment.
On the KeyCare Plus Plan, your chosen GP must prescribe the chronic medicine. We need to approve your chronic condition before we can pay for it from the Chronic Illness Benefit.
Your cover for cancer treatment
We cover your cancer treatment if it is a Prescribed Minimum Benefit and if you go to a cancer specialist in our network. Please call us to register on the Oncology Programme.
Your cover for day-to-day medical expenses (KeyCare Plus only)
Cover for GP visits
When joining KeyCare Plus, you must choose a GP from the KeyCare GP network. You must go to your chosen GP for us to cover your consultations and some minor procedures.
Basic x-rays
We pay for a list of basic x-rays at a network provider. Your chosen GP must ask for the x-rays to be done.
Blood, urine and other fluid and tissue tests
We pay for a list of blood, urine and other fluid and tissue tests. Your chosen GP must ask for these tests by filling in a Discovery Health pathology form.
Medicine to treat conditions that don’t last long
We pay for medicines from our medicine list if they are prescribed by your chosen KeyCare network GP. Click here to view the KeyCare acute medicine formulary 2012.
You get one out-of-network GP visit
If you need to see a doctor and your chosen GP from our network is not available, each person on your membership can go to any GP once. We will cover the GP visit, with selected blood tests and x-rays and medicines on our medicine list.
Cover for dentistry
We cover consultations, fillings and tooth removal at a dentist in our dentist network. Click here to view the KeyCare dental formulary 2012.
Cover for eye care
We cover one eye test for each person but you must go to an eye doctor in our network. The eye doctor will have a specific range of glasses that you can choose from. You can get a set of contact lenses instead of glasses if you choose to. You can get new glasses or contact lenses every 24 months.
Casualty visits
You can go to any casualty unit at one of the KeyCare network hospitals. You have to pay the first R185 of the consultation. Please remember to call us to confirm your benefits.
Trauma Recovery Extender Benefit
We will cover specific out-of-hospital claims for your recovery after certain traumatic events. We’ll cover you for the rest of the year in which the trauma took place, and in the year after your trauma.
How we cover medical equipment
We cover wheelchairs, wheelchair batteries and cushions, transfer boards and mobile ramps, commodes, long-leg calipers, crutches and walkers on the medical equipment list, if you get them from a network provider. There is an overall limit of R3 800 for each family.
Screening and Prevention Benefit
If you go for certain tests to check your health, we will cover them. These screening tests include blood glucose, blood pressure, cholesterol and body mass index at a Discovery Wellness Network provider. We also cover a mammogram, Pap smear, PSA and HIV screening tests. Members 65 years or older and members registered for certain chronic conditions are also covered for a seasonal injection to prevent flu.
Cover for other types of healthcare professionals
We do not cover other types of healthcare professionals, like physiotherapists, psychologists, speech therapists, audiologists, homeopaths or chiropractors.
All KeyCare members have cover for the following benefits out of hospital:
Specialist Benefit
Your GP must call us to get a reference number before your consultation with the specialist. You are covered up to R2 300 for each person on your membership.
Antenatal Benefit
If you are pregnant, the Antenatal Benefit covers you at 100% of the Discovery Health Rate for the following healthcare services:
- four visits to a gynaecologist at a KeyCare Network Hospital
- one routine scan (between 10 and 20 weeks)
- selected blood tests requested by your gynaecologist or GP.
Exclusions on the KeyCare Plans
We do not cover certain healthcare services. You can find a full list of these exclusions here. In addition to the general exclusions that apply to all plans, KeyCare Plans do not cover the following, except if the Prescribed Minimum Benefits says we must:
- Hospital admissions related to:
- dentistry
- skin disorders
- investigations and diagnostic work-up
- functional nasal surgery
- elective caesarean section, except if medically necessary
- surgery for oesophageal reflux and hiatus hernia
- back and neck treatment or surgery
- joint replacements, including but not limited to hips, knees, shoulders and elbows
- cochlear implants, auditory brain implants and internal nerve stimulators – this includes procedures, devices and processors
- healthcare services that should be done out of hospital and for which an admission to hospital is not necessary.
- Bunionectomy
- Arthroscopy
- Removal of varicose veins
- Brachytherapy for prostate cancer
- Refractive eye surgery
- Non-cancerous breast conditions
- Healthcare services outside South Africa
We also do not cover the cost of treatment for any complications or the direct or indirect expenses related to any of these excluded conditions and treatments.
2012 Monthly contributions
| KeyCare Core | |||
|---|---|---|---|
| Family size | R0 - R6 250 | R6 251 - R8 300 | R8 301 + |
| Main member | R465 | R579 | R894 |
| Adult | R465 | R579 | R894 |
| Child* | R117 | R144 | R202 |
| KeyCare Plus | ||||
|---|---|---|---|---|
| Family size | R0 - R3 900 | R3 901 - R6 250 | R6 251 - R8 300 | R8 301 + |
| Main member | R485 | R581 | R813 | R1 211 |
| Adult | R485 | R581 | R813 | R1 211 |
| Child* | R129 | R168 | R228 | R324 |
* We count a maximum of three children when we work out the monthly contribution.
How to join Discovery Health
We market our Discovery Health Plans through independent and accredited financial advisers. If you want a financial adviser to help you choose a Health Plan to suit the needs of your family, please send us your contact details and we will contact you.
KeyCare hospital network for 2012
Click here for the KeyCare hospital network for 2012.
KeyCare Day Surgery network
| Name | Practice Number | Region | Province |
|---|---|---|---|
| Johannesburg | |||
| Fordsburg Day Clinic | 7700083 | Fordsburg - Johannesburg | Gauteng |
| Visiomed | 7700857 | Blackheath - Johannesburg | Gauteng |
| Mayo Clinic | 7700164 | Constantia Kloof - Johannesburg | Gauteng |
| Fauchard Clinic | 7700415 | Florida - Johannesburg | Gauteng |
| Johannesburg Eye Clinic | 7700334 | Northcliff - Johannesburg | Gauteng |
| Sandton Surgical Centre | 7700237 | Morningside - Johannesburg | Gauteng |
| Brenthurst | 5803349 | Parktown - Johannesburg | Gauteng |
| Garden City Clinic | 5805988 | Mayfair - Johannesburg | Gauteng |
| Rand Clinic | 5804620 | Berea - Johannesburg | Gauteng |
| East Rand | |||
| Karibu Day Clinic | 7700644 | Benoni | Gauteng |
| The Healthy Eye | 0052493 | Benoni | Gauteng |
| Mercidoc Day Clinic | 7601131 | Kempton Park | Gauteng |
| Boksburg Medical & Dental Centre | 7700741 | Boksburg | Gauteng |
| Germison Medical & Dental Centre | 7700768 | Germiston | Gauteng |
| Birchmed Day Clinic | 7700504 | Kempton Park | Gauteng |
| Glynnwood Nursing Home | 5807743 | Benoni | Gauteng |
| Dalview Clinic | 5808146 | Brakpan | Gauteng |
| Roseacres Clinic | 5806968 | Germiston | Gauteng |
| Springs Parkland Clinic | 5807034 | Springs | Gauteng |
| St Mary's Maternity Hospital | 5706408 | Springs | Gauteng |
| Suikerbosrand Clinic | 5808987 | Heidelburg | Gauteng |
| Arwyp Medical Centre | 5807891 | Kempton Park | Gauteng |
| Sunshine Hospital | 5808774 | Actonville | Gauteng |
| Botshelong Empilweni Clinic Vosloorus) | 5808685 | Vosloorus | Gauteng |
| South | |||
| Optimed | 7700903 | Alberton | Gauteng |
| Ocumed | 7700830 | Vereeniging | Gauteng |
| Midvaal | 5808898 | Vereeniging | Gauteng |
| Clinix Private Hospital Sebokeng | 5808944 | Vereeniging | Gauteng |
| Vaalpark Medical Centre | 5708745 | Sasolburg | Gauteng |
| Medivaal Hospital (Emfuleni MC) | 5808375 | Vanderbijlpark | Gauteng |
| West Rand | |||
| Medgate Day Clinic | 7700016 | Roodepoort | Gauteng |
| Protea Clinic | 7700369 | Krugersdorp | Gauteng |
| Constantia Clinic | 7700547 | Florida | Gauteng |
| Wilgeheuwel Day Hospital | 0150010 | Radiokop | Gauteng |
| Robinson Hospital | 5804655 | Randfontein | Gauteng |
| Sir Albert Medical Centre | 5708052 | Randfontein | Gauteng |
| Clinix Soweto (Tshepo Themba) | 5808782 | Dobsonville – Orlando | Gauteng |
| Lesedi Clinic | 5807816 | Soweto | Gauteng |
| Pretoria | |||
| Cure Day Clinic - Medkin | 7700121 | Pretoria | Gauteng |
| Kilnerpark Narko Clinic | 7700172 | Kilnerpark - Pretoria | Gauteng |
| Centurion Eye Hospital | 0236837 | Centurion | Gauteng |
| Cure Day Clinic - Midstream | 0423556 | Midrand | Gauteng |
| Pretoria North Day Clinic | 7700156 | Pretoria | Gauteng |
| Brooklyn Surgical Centre | 7700318 | Pretoria | Gauteng |
| Eugene Marais Hospital | 5806615 | Pretoria | Gauteng |
| Carstenhof Clinic | 5808170 | Midrand | Gauteng |
| Louis Pasteur Hospital | 5808820 | Pretoria | Gauteng |
| Zuid Afrikaans Hospital | 5805112 | Pretoria | Gauteng |
| Cure Day Clinics - Erasmuskloof | 0448087 | Erasmuskloof | Gauteng |
| Jakaranda Hospital | 5804116 | Pretoria | Gauteng |
| Bouganville Private Hospital | 5808952 | Pretoria | Gauteng |
| Legae Private Clinic | 5808499 | Pretoria | Gauteng |
| Medforum Medi Clinic | 5807867 | Pretoria | Gauteng |
| Muelmed Hospital | 5808065 | Pretoria | Gauteng |
| Free State | |||
| Citymed Day Theatre | 7700938 | Dan Pienaar - Bloemfontein | Free State |
| Welkom Medical Centre | 0399337 | Welkom | Free State |
| Bethlehem Medical Center | 7700792 | Bethlehem | Free State |
| Rosepark Hospital | 5808014 | Bloemfontein | Free State |
| Pasteur hospital | 5708966 | Bloemfontein | Free State |
| Ernest Opperheimer Hospital | 5808545 | Welkom | Free State |
| St Helena Hospital | 5708532 | St Helena | Free State |
| Universitas Private Hospital | 0131938 | Bloemfontein | Free State |
| Pelonomi Privat e Hospital | 0195340 | Bloemfontein | Free State |
| Hoogland Medi-Clinic | 5808707 | Bethlehem | Free State |
| Hydromed Welkom Medi Clinic | 5808758 | Welkom | Free State |
| Kwazulu Natal | |||
| Shelly Beach Day Hospital | 0380059 | Shelly Beach | Kwazulu Natal |
| Bluff medical & Dental Centre | 7700687 | Durban | Kwazulu Natal |
| Malvern Medical & Dental centre | 7700695 | Malvern | Kwazulu Natal |
| Pinetown Medicross Theatre | 7700954 | Pinetown | Kwazulu Natal |
| City Hospital | 5808367 | Durban | Kwazulu Natal |
| Chatsmed Garden Hospital | 5808219 | Durban | Kwazulu Natal |
| Entabeni Hospital | 5801982 | Durban | Kwazulu Natal |
| Isipingo Clinic | 5708192 | Durban | Kwazulu Natal |
| Mount Edgecombe | 5708664 | Phoenix | Kwazulu Natal |
| The Crompton Hospital | 5808596 | Pinetown | Kwazulu Natal |
| Empangeni Clinic | 5708494 | Empangeni | Kwazulu Natal |
| Midlands Medical Centre | 5708605 | Pietermaritzburg | Kwazulu Natal |
| Hibiscus Hospital | 5808901 | Port Shepstone | Kwazulu Natal |
| St Annes Hospital | 5808197 | Pietermaritzburg | Kwazulu Natal |
| Kingsway Hospital | 5808200 | Amanzimtoti | Kwazulu Natal |
| The Bay Hospital | 5808472 | Richards Bay | Kwazulu Natal |
| Kokstad Private Hospital | 0174602 | Kokstad | Kwazulu Natal |
| Newcastle Private Hospital | 5808871 | Newscastle | Kwazulu Natal |
| Victoria Private Hospital (Tongaat) | 5708567 | Tongaat | Kwazulu Natal |
| Mpumalanga | |||
| eMalahleni Day Clinic | 7700520 | Witbank | Mpumalanga |
| Lowveld Day Clinic | 0042668 | Nelspruit | Mpumalanga |
| Kriel Clinic Trust | 7700229 | Kriel | Mpumalanga |
| Cosmos Hospital | 5807980 | Witbank | Mpumalanga |
| Middelburg Private Hospital | 5808243 | Middelburg | Mpumalanga |
| Barberton Medi-Clinic (Eureka) | 5709148 | Barberton | Mpumalanga |
| Ermelo Private Hospital | 5808863 | Ermelo | Mpumalanga |
| Highveld Medi-Clinic (Tichardt) | 5807956 | Trichardt | Mpumalanga |
| Nelspruit Private Hospital | 5808340 | Nelspruit | Mpumalanga |
| North West | |||
| Potchefstroom Medical & Dental Centre | 7700784 | Potchefstroom | North West |
| Anncron Clinic | 5700159 | Klerksdorp | North West |
| Peglarae Hospital | 5808359 | Rustenburg | North West |
| Vryburg Private Hospital | 5808553 | Vryburg | North West |
| Leslie Williams Hospital | 5708648 | Carletonville | North West |
| Victoria Private Hospital (Mafikeng) | 0223891 | Mafikeng | North West |
| Potchefstroom Medi-Clinic | 5808057 | Potchefstroom | North West |
| Limpopo | |||
| Limpopo Medi-Clinic | 5808189 | Polokwane | Limpopo |
| Curamed Thabazimbi Hospital | 5709202 | Thabazimbi | Limpopo |
| Tzaneen Private Hospital | 132454 | Tzaneen | Limpopo |
| Northern Cape | |||
| Kimberley Medi-Clinic | 5808049 | Kimberley | Northern Cape |
| Kathu Medi-Clinic | 5706009 | Kathu | Northern Cape |
| Upington Private Hospital | 5808804 | Upington | Northern Cape |
| Western Cape | |||
| Parow Medicross | 7700717 | Parow - Cape Town | Western Cape |
| Wesfleur Private Clinic | 7700814 | Atlantis | Western Cape |
| Khangela Eye Theatre | 0251364 | Bellville | Western Cape |
| Kango Clinic | 7700431 | Oudtshoorn | Western Cape |
| Monte Vista Clinic | 7700059 | Monte Vista | Western Cape |
| Kraaifontein Medical & Dental Centre | 7700709 | Kraaifontien | Western Cape |
| Tokai Medical & Dental Centre | 7700725 | Kuilsriver | Western Cape |
| Bayview Hospital | 5808790 | Mosselbay | Western Cape |
| West Coast Private Hospital | 5808979 | Vredenburg | Western Cape |
| Mitchells Plain Medical Centre | 5807948 | Mitchells Plain | Western Cape |
| Gatesville Medical Centre | 5808103 | Gatesville | Western Cape |
| Bellville Medical Centre | 5802881 | Bellville | Western Cape |
| Ceres Private Hospital | 5709032 | Ceres | Western Cape |
| Christiaan Barnard Memorial Hospital | 5807778 | Cape Town | Western Cape |
| Kuilsrivier Private Hospital | 0088978 | Kuilsriver | Western Cape |
| UCT Medical Centre | 0071730 | Observatory | Western Cape |
| Geneva Clinic | 5709059 | George | Western Cape |
| George Medi-Clinic | 5807905 | George | Western Cape |
| Hermanus Medi-Clinic | 5709091 | Hermanus | Western Cape |
| Klein Karoo Medi Clinic | 5808928 | Oudtshoorn | Western Cape |
| Louis Leipold | 5806860 | Bellville | Western Cape |
| Milnerton Medi Clinic | 5808669 | Milnerton | Western Cape |
| Paarl Medi-Clinic | 5808251 | Paarl | Western Cape |
| Worcester Medi-Clinic | 5808006 | Worcester | Western Cape |
| Eastern Cape | |||
| Medical Forum Theatre | 7700873 | Port Elizabeth | Eastern Cape |
| Beacon Bay | 0357669 | East London | Eastern Cape |
| St Dominics | 5808294 | East London | Eastern Cape |
| St James Operating Theatre | 5703816 | East London | Eastern Cape |
| Isivivana Private Hospital | 0168386 | Humansdorp | Eastern Cape |
| New Mercantile Hospital | 5808626 | Port Elizabeth | Eastern Cape |
| Queenstown Private Hospital | 5709156 | Queenstown | Eastern Cape |
| St Mary's Private Hospital | 5700167 | Umtata | Eastern Cape |
| Cuyler Clinic | 5808642 | Uitenhage | Eastern Cape |
