Keyhealth:
All the 2025 medical aid plans

Table of Contents:

// Plans

Keyhealth Essence:

Main Adult Child
2025 cost: R 2,187 R 1,753 R 788
Day-to-Day Benefit:
Savings: None None None
Main Adult Child
2026 cost: R 2,393 R 1,918 R 862
Day-to-Day Benefit:
Savings: None None None
Hospital Choice: Network
Child rates: Child rates for Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. ; Pay for all children
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Keyhealth Origin:

Main Adult Child
2025 cost: R 2,451 R 1,746 R 799
Day-to-Day Benefit:
Savings: None None None
Fund: R3,295 R1,915 R1,010
Main Adult Child
2026 cost: R 2,633 R 1,876 R 859
Day-to-Day Benefit:
Savings: None None None
Fund: R3,295 R1,915 R1,010
Hospital Choice: Netcare, Life and selected Mediclinics
Child rates: Child rates for Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. ; Pay for all children
View all benefits for this plan
.

Keyhealth Equilibrium:

Main Adult Child
2025 cost: R 3,054 R 1,886 R 939
Day-to-Day Benefit:
Savings: R 2,664 R 1,644 R 816
Fund: R3,615 R2,490 R1,105
Main Adult Child
2026 cost: R 3,296 R 2,035 R 1014
Day-to-Day Benefit:
Savings: R 2,880 R 1,776 R 888
Fund: R3,615 R2,490 R1,105
Hospital Choice: Netcare, Life and selected Mediclinics
Child rates: Child rates for Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. ; Only pay for 3 children
View all benefits for this plan
.

Keyhealth Silver:

Main Adult Child
2025 cost: R 5,423 R 2,918 R 1,133
Day-to-Day Benefit:
Savings: None None None
Fund: R9,300 R6,760 R1,880
Main Adult Child
2026 cost: R 5,857 R 3,152 R 1,224
Day-to-Day Benefit:
Savings: None None None
Fund: R9,300 R6,760 R1,880
Hospital Choice: Netcare, Life and selected Mediclinics
Child rates: Child rates for Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. ; Only pay for 3 children
View all benefits for this plan
.

Keyhealth Gold:

Main Adult Child
2025 cost: R 7,951 R 5,377 R 1,562
Day-to-Day Benefit:
Savings: R 8,436 R 5,700 R 1,656
Fund: R6,020 R4,480 R1,440
Main Adult Child
2026 cost: R 8,675 R 5,867 R 1,705
Day-to-Day Benefit:
Savings: R 9,156 R 6,192 R 1,800
Fund: R6,020 R4,480 R1,440
Hospital Choice: Netcare, Life and selected Mediclinics
Child rates: Child rates for Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. ; Only pay for 3 children
View all benefits for this plan
.

Keyhealth Platinum:

Main Adult Child
2025 cost: R 12,779 R 8,960 R 2,699
Day-to-Day Benefit:
Savings: None None None
Fund: R13,665 R13,260 R3,245
SPG*: R 4,575 R 4,070 R 1,500
ATB*: Unlimited Unlimited Unlimited
Main Adult Child
2026 cost: R 13,840 R 9,704 R 2,924
Day-to-Day Benefit:
Savings: None None None
Fund: R13,665 R13,260 R3,245
SPG*: R 4,970 R 4,420 R 1,630
ATB*: R19,170 R18,195 R5,000
Hospital Choice: Netcare, Life and selected Mediclinics
Child rates: Child rates for Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. ; Pay for all children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once you've paid the Self Payment Gap. More info .
View all benefits for this plan
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What does a “PMBs only” restriction mean?
In this case, the scheme will only pay for diagnosis, treatment and management of a claim for one of 270 pre-defined conditions (PMBs). Read more, and see full list of PMB conditions. 

What does “From Risk” mean?
The scheme will pay for this claim from its own funds, not from your savings or other day-to-day benefits. 

What is a DSP?
A Designated Service Provider. The scheme has a network of providers, and will often only pay claims in full if you use a DSP. If you choose another provider, you might have a co-payment, or even no cover. 

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