Keyhealth Silver:
dentistry, optometry and wellness (2025)

What's on this page:

This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Keyhealth Silver View all the Keyhealth plans, with costs and brief summary.

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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:Silver (2025 prices)
Main member: Adult member: Child member:
Total Cost pm:
  • R5,423
  • R2,918
  • R1,133
  • Only pay for 3 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
  • R9,300
  • R6,760
  • R1,880
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

Dentistry benefits (2025):

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

Keyhealth: Silver
Assume scheme pays all these costs, unless otherwise stated
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
  • R9,300
  • R6,760
  • R1,880
Standard Dentistry:
  • Consultations: 1 check up and 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:
  • In case of dental emergency (broken or knocked out tooth), scheme will cover costs to restore tooth to functional use
  • Otherwise, no benefit
In-Hospital Dentistry:
  • Wisdom teeth: R1,980 co-payment in-hospital. No co-payment if done in chair or day hospital.
  • Children <5yrs: R1,980 co-payment in-hospital. No co-payment if done in chair or day hospital.
  • Maxillo-facial surgery
    • PAid by scheme, with protocols
Orthodontics:
  • Paid by scheme at 80% scheme rate
  • 9-18yrs only. Only one person per family may start per year

Optometry benefits (2025):

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

Keyhealth: Silver
Assume scheme pays all these costs, unless otherwise stated
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
  • R9,300
  • R6,760
  • R1,880
Optometry:
  • R1,975 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.

Wellness/Preventative benefits (2025):

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

Keyhealth: Silver
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: R480
  • Colon screening
View other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

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Other benefits for 2025:

Silver
International Insurance:
  • No benefit
Other: .

    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


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.