Keyhealth Gold:
prosthetic benefits (2025)

Table of Contents:

This page has information on: Costs and Prosthetics for Keyhealth Gold

View all the Keyhealth plans, with costs and brief summary.

Find all the open medical aid plans here.
Compare any two plans side by side, instantly.

Terminology:

  • PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
  • 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
  • All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2025)

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

Keyhealth:Gold (2025 prices)
Main member: Adult member: Child member:
Total Cost pm:
  • R7,951
  • R5,377
  • R1,562
  • Only pay for 3 children
Savings:
  • R8,436
  • R5,700
  • R1,656
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R6,020
  • R4,480
  • R1,440
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

Monthly Costs (2026)

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

Keyhealth:Gold (2026 prices)
Main member: Adult member: Child member:
Total Cost pm:
  • R8,675
  • R5,867
  • R1,705
  • Only pay for 3 children
Savings:
  • R9,156
  • R6,192
  • R1,800
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R6,255
  • R4,655
  • R1,495
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

Prosthetics benefits (2025):

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

Keyhealth: Gold
Overal Limit:
  • Prosthetics / prosthesis Internal, external, fixation devices and implanted devices: R59,100 per family, unless PMB
 Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Sub-limits: . Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Note:
  • PMBs: Prescribed Minimum Benfits. PMBs cannot have sublimits or co-payments if protocols are followed. You can read more about PMBs 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
Always consult with your broker before making final decisions regarding your healthcare cover.

    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
Great news!
We'll help you squeeze the most out of your cover

Every Friday, you’ll have free inside-help for your medical aid, gap cover and claim issues. Plus: 

💥 Super Deals on wellness products and services
💥 Latest 🇿🇦 healthcare news,
💥 Free healthcare guides, to download and print
💥 Access to free online and offline workshops
💥 Fun weekend read, just for South Africans

Join 5k 🇿🇦 subscribers. We never share your info.

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. 

Compare Plans:
Plan A:

Scheme to compare:

Plan B:

Scheme to compare:

Our Guides (free!)

Get the Guides for free when you join our 5k+ 🇿🇦 newsletter subscribers. We never share your info.

Articles: