Keyhealth Equilibrium: dentistry, optometry and wellness (2024)

This page: Costs | Dentistry | Optometry | Wellness and Preventative | Other Keyhealth Equilibrium We also show benefits for: In-hospital | Out of Hospital | Medicine | Maternity | Cancer | Mental Health | Prosthetics Find all the open medical aid plans here. Compare any two plans side by side, instantly. Monthly Costs: Equilibrium 2024 prices Main member: Adult member: Child member: Total Cost pm: R2,778 R1,716 R854 Only pay for 3 children Savings: R2,424 R1,500 R744 Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account R3,455 R2,380 R1,055 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:♦️ 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 Keyhealth plans, with costs and brief summary . 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 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:♦️ 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 Keyhealth plans, with costs and brief summary . . . 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 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:♦️ 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 Keyhealth plans, with costs and brief summary . . . 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:♦️ 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 Keyhealth plans, with costs and brief summary . 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:♦️ 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 Keyhealth plans, with costs and brief summary .

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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