Affordable medical aid cover
Here's what you get:
Unlimited hospital cover in our KeyCare hospital networks
Guaranteed full cover in hospital for specialists on the KeyCare network, and up to 100% of the Discovery Health Rate (DHR) for other healthcare professionals
Cover for comprehensive pre- and postnatal healthcare services for maternity and early childhood
Unlimited cover for medically appropriate GP consultations, blood tests, X-rays or medicine in our KeyCare networks on the KeyCare Plus and KeyCare Start plans
Essential cover for chronic medicine on the KeyCare medicine list for all Chronic Disease List conditions when you use a designated service provider (DSP).
Cover depends on the plan you choose.
Our four plans in the KeyCare Series
| Core | Plus | Start | Start Regional | |
|---|---|---|---|---|
| Hospital cover | ||||
| Unlimited private hospital cover at a network hospital | Unlimited cover in your chosen KeyCare Start Network Hospital | Unlimited hospital cover in the chosen KeyCare Start Regional network hospital. Members must go to a network hospital in their selected region | ||
| Full cover with a specialist we have a payment arrangement with | Full cover at a contracted provider in your allocated KeyCare Start network hospital. Other providers within your allocated KeyCare Start network hospital is covered at 100% of the Discovery Health Rate | Guaranteed full cover in hospital for specialist on the keycare Start Regional network, and up to 100% of the Discovery Health Rate (DHR) for other healthcare professionals. | ||
| Specialists we don't have a payment arrangement with are covered at a percentage of the Discovery Health Rate | 100% | 100% | Full cover at a contracted provider in your allocated KeyCare Start network hospital. Other providers within your allocated KeyCare Start network hospital is covered at 100% of the Discovery Health Rate | Full cover at a contracted provider in your allocated KeyCare Start Regional network hospital. Other providers within your allocated KeyCare Start Regional network hospital is covered at 100% of the DHR for other healthcare professionals. |
| Other healthcare professionals are covered at a percentage of the Discovery Health Rate | 100% | 100% | Full cover at a contracted provider in your allocated KeyCare Start network hospital. Other providers within your allocated KeyCare Start network hospital is covered at 100% of the Discovery Health Rate | Full cover at a contracted provider in the KeyCare Start Regional network hospital. Other providers within your allocated KeyCare Start Regional network hospital is covered 100% of the DHR |
| Chronic illness cover | ||||
| Chronic condition: Cover for 27 Chronic Disease List conditions (once approved) according to the Prescribed Minimum Benefits | ||||
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Chronic medicine: Full cover for approved medicine on our medicine list at a designated service provider pharmacy |
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| Cancer cover | ||||
| According to Prescribed Minimum Benefits at a cancer specialist in our network | You have cover for cancer in a state facility | You have cover for cancer in a state facility | ||
| Day-to-day cover | ||||
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Primary care through your chosen GP and day-to-day medicine from our medicine list as well as basic radiology and pathology at a network provider |
Unlimited GP consultations through the online practice and face-to-face consultations when referred by the online practice. Access to blood tests, X-rays or medicine if referred by the KeyCare Online Practice or chosen KeyCare Start Regional network GP. | |||
This is only a summary of the key benefits. Please consult the health plan guide for more details. Discovery Health Medical Scheme Rules apply.
