Discovery Health - KeyCare Start Medical Aid Plan

Discovery Health - KeyCare Start

Discovery Health KeyCare Start is a low-cost, income-based plan that's ideal for entry-level consumers. It includes cover for private hospitalisation at hospitals in the KeyCare Start network, network GP visits and cover for two specialist visits (if referred by a network GP).

The plan also includes cover for certain procedures at network day surgeries. Cancer treatment, dialysis and chronic medication are covered only at state facilities.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Discovery Health Rate)

Provider

KeyCare Start hospital Network of private Hospitals

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: PMB's at State
Organ Transplants: Treatment Plan
Dialysis: Treatment Plan at State
Internal Prosthesis: PMB's

Chronic

27 PMB's (designated service provider: State)

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: R 0 – 10,100

Member: R1 239

Adult: R1 239

Per Child: R755

 

INCOME BASED: R10101 - 15,250

Member: R2 085

Adult: R2 085

Per Child: R817

 

INCOME BASED: R15251+

Member: R3 247

Adult: R3 247

Per Child: R883

 

 

 

 

 

 


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

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