Discovery Health - Keycare Start Regional Medical Aid Plan

Discovery Health - Keycare Start Regional

Discovery Health KeyCare Start is a low-cost, income-based plan that's ideal for entry-level consumers. Contributions depend on which of three income bands you fit.

The plan includes cover for private hospitalisation at hospitals in your KeyCare Regional Start network, network GP visits, chronic medication prescribed by a network GP and cover for two specialist visits (if referred by a network GP).

It also includes cover for certain procedures at network day surgeries. Cancer treatment and dialysis are covered only at state facilities.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Discovery Health Rate)

Provider

Keycare Start Regional hospital Network of private Hospitals

GP's & Specialists

GP's& Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: PMBs /state

Organ Transplants: Treatment Plan

Dialysis: Treatment Plan at state

Internal Prosthesis: PMBs

Chronic

27 PMB's (designated service provider: Network Pharmacy or Network GP)

Out of Hospital Benefits

Saving / Day to Day / OHEB

Network plan unlimited GP visits: pre-authorisation needed from 15th visit: at 2 selected GP's, specialist benefit of R2650 max 2, 2 out of network visits per person at a Key Care GP, basic radiology & pathology, basic dentistry, basic optometry

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

8 Consultations, 2 scans, certain blood tests and post natal visits

Contributions

Contributions

INCOME-BASED: R0– 10100

Member: R1 102

Adult: R1 102

Per Child: R664

 

 

INCOME BASED: R10101 – 15250

Member: R1 666

Adult: R1 666

Per Child: R735

 

INCOME BASED: R15251+

Member: R2 597

Adult: R 2 597

Per Child: R795

 

 

 

 

 

 


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Finding it difficult to make sense of all this? Not to worry, you can:

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