Keyhealth:
All the 2025 medical aid plans

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Keyhealth Essence:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 2,187 R 1,753 R 788 No No No Network
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Child rates: Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. . Pay for all children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Keyhealth Origin:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 2,451 R 1,746 R 799 No R R3,295 No Netcare, Life and selected Mediclinics
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Child rates: Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. . Pay for all children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Keyhealth Equilibrium:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 3,054 R 1,886 R 939 R 2,664 R R3,615 No Netcare, Life and selected Mediclinics
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Child rates: 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.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Keyhealth Silver:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 5,423 R 2,918 R 1,133 No R R9,300 No Netcare, Life and selected Mediclinics
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Child rates: 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.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Keyhealth Gold:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 7,951 R 5,377 R 1,562 R 8,436 R R6,020 No Netcare, Life and selected Mediclinics
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Child rates: 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.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Keyhealth Platinum:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 12,779 R 8,960 R 2,699 No R R13,665 Unlimited Netcare, Life and selected Mediclinics
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Child rates: Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. . Pay for all children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.


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.