Keyhealth Platinum:
dentistry, optometry and wellness (2025)

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This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Keyhealth Platinum 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)

Platinum 2025 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R12,779
  • R8,960
  • R2,699
  • Pay for all children
Savings (per year):
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R13,665
  • R13,260
  • R3,245
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R4,575
  • R4,070
  • R1,500
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Unlimited
  • Unlimited
  • Unlimited
Children Rates:
  • Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates.
  • Pay for all 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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Dentistry benefits (2024):

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

Keyhealth: Platinum
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings (per year):
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R13,665
  • R13,260
  • R3,245
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R4,575
  • R4,070
  • R1,500
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Unlimited
  • Unlimited
  • Unlimited
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: 2 partial frame per person every 5 years
  • Crowns and bridges: 1 per tooth, every 5 years
  • Implants: R4,700 per person
  • Periodontics: Covered, with protocols
In-Hospital Dentistry:
  • Limited to children under 5yrs and removal of impacted teeth
 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:
  • 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: Platinum
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings (per year):
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R13,665
  • R13,260
  • R3,245
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R4,575
  • R4,070
  • R1,500
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Unlimited
  • Unlimited
  • Unlimited
Optometry:
  • R1,890 per person, every 2 years From day-to-day benefit
  • Frame: R630, from above limit
  • Contact lenses: R845, from above limit
  • Refractive Surgery: No 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: Platinum
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)

Platinum
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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