Keyhealth Equilibrium:
cancer, maternity and mental health (2025)

This page has information on: Costs, Maternity, Oncology, Mental Health for Keyhealth Equilibrium

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Monthly Costs (2025)

Equilibrium 2025 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R3,054	R1,886	R939 Only pay for 3 children
Savings:	R2,664	R1,644	R816
Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account	R3,615	R2,490	R1,105
Children 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
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: In-hospital \| 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 Keyhealth plans, with costs and brief summary. Find all other open medical aid plans here.
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Keyhealth: Equilibrium
Assume scheme pays all these costs, unless otherwise stated
Overall cancer coverage (in and out of hospital):	R189,000 per family Note: Most cancers are PMBs, and treatment is paid in full by scheme. More info here Most schemes require use of specific providers (DSPs) for oncology treatment.	Treatment required for PMB conditions is always paid by scheme, with no co-payment, if you follow the protocols.
View all the other benefits for this plan: In-hospital \| 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 Keyhealth plans, with costs and brief summary. Find all other open medical aid plans here.
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Keyhealth: Equilibrium
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:	Natural birth: 3 days private ward	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:	Consults:: 12 consults with GP, gynae or midwife Short payment on consults: additional R1,440 Vitamins: R2,440 Classes: R2,440 for first pregnancy
Scans:	2 x 2D 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: In-hospital \| 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 Keyhealth plans, with costs and brief summary. Find all other open medical aid plans here.
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Keyhealth: Equilibrium

Assume scheme pays all these costs, unless otherwise stated

	Main Member:	Adult:	Child:
Savings:	R2,664	R1,644	R816
Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account	R3,615	R2,490	R1,105

Traumatic event claims: 6 counselling sessions per person per year, for the year in which the trauma event occurred and the year after

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

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