Keyhealth Equilibrium:
dentistry, optometry and wellness (2025)

What's on this page:

  1. Monthly Costs (2025)
  2. Dentistry benefits (2024):
  3. Optometry benefits (2024):
  4. Wellness/Preventative benefits (2024):
  5. Other benefits for 2024:
This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Keyhealth Equilibrium View all the Keyhealth plans, with costs and brief summary.

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Monthly Costs (2025)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

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.
.

Dentistry benefits (2024):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Keyhealth: Equilibrium
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
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
Standard Dentistry:
  • Consultations::1 check up + 3 emergencies, per person
  • Extra-oral x-ray: 1 per person, every 3 years
  • Fillings, tooth extractions, root canals: Covered
  • Plastic dentures: 1 set per person, every 4 years
  • Above paid by scheme, otherwise From day-to-day benefit
Specialised Dentistry:
  • Wisdom teeth: Covered, in chair
In-Hospital Dentistry:
  • Wisdom teeth: R1,890 co-payment, unless in day hospital
  • Childen <5yrs: R1,890 co-payment, unless in day hospital
 PMBs are always covered by the scheme, and cannot have sublimits or co-payments imposed. These include fracture of face bones, orbit and/or jaw. You can see a full list of maxillo facial PMB benefits here.
Orthodontics:
  • 80% scheme rate
  • 9-18yrs only. Only one person per family may start per year
Note:
  • PMBs: Prescribed Minimum Benfits. To read more about PMBs click here
  • 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:
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.

Optometry benefits (2024):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Keyhealth: Equilibrium
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
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
Optometry:
  • R1,425 per person, every 2 years
  • From day-to-day benefit
Note:
  • This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.
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.

Wellness/Preventative benefits (2024):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Keyhealth: Equilibrium
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:
  • Covered
Pneumonia vaccines:
  • Covered
Biometric Screening:
  • Covered
Child Immunisation:
  • Covered , up to 6yrs
Pap Smear:
  • 1 per year, females 15yrs+
Mammogram:
  • 1 per year, females 40yrs+
PAS Test:
  • 1 per year, males 40yrs+
HIV Test:
  • 1 per year
Other:
  • Tetanus injection: Covered as required
  • Malaria medication: R440
  • Colon screening
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.

Other benefits for 2024:

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Equilibrium
International Insurance:
  • No benefit
Other: .
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.

    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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