Discovery Keycare Start Regional B:cancer, maternity and mental health (2024)

This page has information on: Costs, Maternity, Oncology, Mental Health for Discovery KeyCare Start Regional B

We also have information on: In-hospital, Out of hospital, Medicine, Dentistry, Optometry, Other/Extra Benefits, Wellness and Preventative and Prosthetics

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Monthly Costs:

KeyCare Start Regional B 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R1,666	R1,666	R735 Only pay for 3 children
Savings (per year):	No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Children Rates:	Under 21 yrs old Only pay for 3 children
Income band:	This plan is only available to households with income in R10,101-R15,250pm band. View other income bands
Note:	Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list. All treatments and procedures are subject to authorisation and protocols All benefits are listed as an indication only. Please verify with your broker and scheme
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Discovery plans, with costs and brief summary
.

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Cancer/ Oncology benefits for 2024:

Discovery: KeyCare Start Regional B
Assume scheme pays all these costs, unless otherwise stated
Overall coverage (in and out of hospital):	PMBs only, in State Facilities or a 20% co-payment Palliative Care: Unlimited cover for approved care at home	Treatment required for PMB conditions is always paid by scheme, with no co-payment, if you follow the protocols. Most cancers are PMBs! More info here Most schemes require use of specific providers (DSPs) for oncology treatment.
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Discovery plans, with costs and brief summary
.

Maternity benefits for 2024:

Discovery: KeyCare Start Regional B
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:	100% scheme rate for specialists Elective c-sections: No benefit	Usually covered for 2 nights* for natural birth, and 3 nights for C-sections. All newborns receive immediate full medical aid cover at birth, even if parents are on a waiting period.*
Consultations:	8 consults with GP, Gynae or midwife Nuchal translucency or Non-Invasive Prenatal Test if you meet the criteria Certain blood tests Five antenatal or postnatal classes or consultations with a registered nurse up until two years after you have given birth After birth: One six week post-birth consult with midwife, GP or gynae; one nutritional assessment; two mental health consults, breastfeeding consultation Savings on stem cell banking
Scans:	2 x ultrasound scans
Note:	If you are pregnant and don't have medical aid, your pregnancy will most likely be excluded for new cover, but your baby will be covered from birth. Read more about pregnancy cover if you don’t have medical aid.
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Discovery plans, with costs and brief summary
.

Mental Health benefits for 2024:

Discovery: KeyCare Start Regional B
Assume scheme pays all these costs, unless otherwise stated
In-hospital:	Major affective disorders, anorexia and bulimia: 21 days for admissions or 15 out-of-hospital consultations Attempted suicide or detoxification: 3 days admission Other mental health admissions: 21 days in-hospital Alcohol and drug rehab: 21 days in-hospital All admissions are covered in full at a network facility, or at 80% scheme rate at a non-network facility
Out-of-hospital:	See above
Trauma:	Six counselling sessions per person per year, for the year in which the trauma event occurred and the year after
Note:	PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness. DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit. Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Discovery plans, with costs and brief summary
.

Important!

Unless specified, assume that all benefits are paid are paid at 100% scheme rate
No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
"Unlimited" benefits are still subject to authorisation, protocols and sublimits
Assume that all benefits need to be pre-authorised

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Discovery Keycare Start Regional B:cancer, maternity and mental health (2024)

Monthly Costs:

Cancer/ Oncology benefits for 2024:

Maternity benefits for 2024:

Mental Health benefits for 2024:

All the medical aid jargon explained (2024)

How do I make a medical aid plan change (2024)?

Medical Aid waiting periods: what you need to know (2024)

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Sizwe Value Core:
cancer, maternity and mental health (2024)

Sizwe Value Core:
prosthetic benefits (2024)

Sizwe Value Core:
in-and-out of hospital benefits (2024)

Sizwe Value Core:
dentistry, optometry and wellness (2024)