Here's what you get:
- Personal Health Fund
- Unlimited hospital cover in the KeyCare Hospital Network
- Full in-hospital cover for specialists with a payment arrangement with us. Up to 100% of the Discovery Health Rate for other specialists
- Day surgery for defined conditions at a facility in the KeyCare Day Surgery Network
- Maternity cover for pre- and post-natal healthcare and early childhood
- Day-to-day benefits and day-to-day medicine from our medicine list when prescribed by a nominated KeyCare GP
- Chronic medicine cover on the KeyCare medicine list when you use a network provider/pharmacy
- Cover depends on the plan you choose
Our four plans in the KeyCare Series
| Plus | Core | 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. | ||||
| Specialists we don't have a payment arrangement with are covered at a percentage of the Discovery Health Rate. | 100% | 100% | 100% | 100% |
| Other healthcare professionals are covered at a percentage of the Discovery Health Rate. | 100% | 100% | 100% | 100% |
| Chronic illness cover | ||||
| Cover for 27 Chronic Disease List conditions (once approved) according to the Prescribed Minimum Benefits. | ||||
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Full cover for approved medicine on our medicine list at a designated service provider pharmacy. |
You have cover for chronic medication in a state facility. | |||
| Cancer cover | ||||
| Full cancer treatment cover that is a Prescribed Minimum Benefit subject to the use of a designated service provider. | You have cancer cover in a network facility | You have cancer cover in a state facility. | ||
| Day-to-day cover | ||||
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Personal Health Fund |
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Primary care through your chosen GP and day-to-day medicine from our medicine list. |
Through referral by the KeyCare Online practice. | |||
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Includes specialists cover up to R5,750 per person per year when referred by a GP. |
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Includes specialists cover up to R2,850 per person per year when referred by a GP. |
When referred by your chosen KeyCare Start Regional 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.
