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KeyHealth Medical Aid Scheme

About KeyHealth

KeyHealth is one of 5 medical aid schemes in South Africa that has permission to operate within the Local Government sector. The medical aid scheme provides comprehensive healthcare to individuals and groups alike and currently provide cover for more than 95 000 members in South Africa.

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KeyHealth Options

KeyHealth Essence

This is an entry-level option providing hospital cover only. Hospitalisation is unlimited and covered at 100% of the agreed tariff.

KeyHealth Equilibrium

Hospitalisation is unlimited and covered at 100% of the agreed tariff. In-hospital, specialist services are covered up to 150% of MST. Out-of-hospital expenses are recoverable from a medical savings account and day-to-day benefits.

KeyHealth Silver

This option provides unlimited hospital cover at 100% of the agreed tariff with adequate day-to-day benefits. It is suitable for younger families.

KeyHealth Gold

This option provides unlimited hospital cover at 100% of the agreed tariff with a medical savings account and a generous day-to-day benefit.

KeyHealth Platinum

This option provides the most comprehensive cover. Hospitalisation is unlimited and covered at 100% of the agreed tariff.

KeyHealth Extras

KeyHealth Health Booster

This programme is aimed at preventative treatment. It is important to note that this benefit is provided in addition to the benefits offered by your specific option.

What KeyHealth do not cover:

Examinations, consultations, treatment, operations and procedures relating to:

  • Acupuncture
  • Biokinetics
  • Biostress assessments
  • Colonic irrigations
  • Cosmetic procedures
  • DNA testing
  • EBCT – Electronic Beam Computed Tomography (coronary and heart)
  • Gastroplasty
  • IQ tests and learning problems
  • Laser-assisted functional reconstruction of palate and uvula, including follow-up procedures
  • Obesity
  • Reversals of sterilisations
  • Reversals of vasectomies
  • Sclerotherapy of varicose veins

Certain charges and purchases (e.g. humidifiers and blood pressure monitors), as referred to in the Scheme Rules, may also be excluded.

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