Monthly Costs:
Dentistry benefits (2024):
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:
Consultations: 2 check-ups, per person
Extra-oral x-ray: 1 per person, every 3 years
Fillings : Covered
Plastic dentures: 1 set per person, every 4 years
Above paid by scheme , otherwise From day-to-day benefit
Specialised Dentistry:
Partial chrome cobalt frame dentures: 1 partial frame per person every 5 years
Crowns and bridges: 1 per tooth , every 5 years
Periodontics: Covered, with protocols
Paid by scheme
Implants: No benefit
In-Hospital Dentistry:
In chair: Covered
Childen <5yrs: R1,890 co-payment , unless in day hospital
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
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Inhospital |
Out of hospital |
Medication |
Maternity |
Cancer |
Mental Health |
Dentistry |
Optometry |
Other/Extra Benefits |
Wellness |
Prosthetics
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Optometry benefits (2024):
Assume scheme pays all these costs, unless otherwise stated
Optometry:
R3,780 per person , every 2 years From day-to-day benefit
Frame: R1,200 , from above limit
Contact lenses: R1,790 , from above limit
Refractive Surgery: From above limit
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 for 2024:
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