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Keyhealth

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  • Medical Aid starting from R1,454
  • Unlimited Hospital Plans
  • Affordable Premiums

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Keyhealth homepage
Author Keyhealth. Screenshot of Keyhealth website.
[Accessed July 10, 2023]

About Keyhealth

What drives Keyhealth is finding ways to provide their members and everyone they care about with more health coverage.

This medical aid provides simple and accessible healthcare whenever you need it and gives you great value for your money.

Everyone always has access to KeyHealth

They pride themselves on having a thorough grasp of and insight into the needs of their members. This understanding is based on current, reliable, and easily accessible health data and lifestyle insights.

They have a health care package to suit your needs and your pocket with six plans to choose from.

By redefining the true value of medical aid, they’re setting new standards for the sector. They’ve taken a bold step in their sector and done what no one else has done to date.

They’ve eliminated the co-payments requirement for their members, as well as the restrictive practices of using DSPs effectively easing the financial strain on their members. Their members can realize real savings without compromising their healthcare.

More benefits for you

Members can choose to include the following additional benefits to any package:

  • Health Booster which provides you with pre-emptive and early detection benefits, maternity benefits, weight loss benefits, and contraceptive benefits.
  • Easy-ER, a pioneering KeyHealth concept that provides emergency care at any hospital without you paying hospital fees and there are zero hidden expenses.
  • The Smart Baby Program from KeyHealth provides you with the best benefits for maternity support, and wellness guidance for you and your baby.

These programs allow the scheme to offer its members a comprehensive healthcare management system with beneficial effects.

This includes lower rates of hospital admissions and short hospital stays, low healthcare costs, and greater patient satisfaction.

Keyhealth Services

Key Health provides a variety of plans, starting with the most fundamental essential medical coverage for those unexpected medical costs to their top-of-the-range package which covers everything you need for the present and the future.

Their top package has increased benefits and outstanding value giving you complete and comprehensive coverage at your fingertips.

Each of their packages comes standard with major medical cover, chronic medication, and supplementary cover. You can also add additional coverage to each of the plans based on your needs should you need this.

Keyhealth’s waiting periods explained

They have a standard 3 months waiting period for new members as well as a 12-month condition-specific waiting period. However, members with pre-existing conditions do not necessarily require a waiting period.

Keyhealth's medical aid plans in a nutshell

  1. Essence: This is the entry-level medical aid plan that provides limited hospital cover and basic day-to-day healthcare benefits. It's suitable for individuals who want a low-cost option with essential healthcare cover.
  2. Origin: This plan offers more comprehensive hospital cover than Essence and includes benefits such as chronic medication, specialist consultations, and basic day-to-day healthcare services.
  3. Equilibrium: This is a mid-range medical aid plan that offers comprehensive hospital cover and generous day-to-day benefits. It's suitable for individuals and families who require a balance between affordability and comprehensive healthcare cover.
  4. Silver: This is a high-end medical aid plan that provides comprehensive hospital cover, generous day-to-day benefits, and additional benefits such as maternity care, dental services, and optical services.
  5. Gold: This plan offers more extensive cover than the Silver plan and includes benefits such as international medical travel cover and wellness programmes.
  6. Platinum: This is the top-tier medical aid plan that offers the most comprehensive cover, including private hospital accommodation, advanced medical procedures, and other premium benefits.

Additional information at your fingertips

They have also promoted their additional services and value-added benefits on their website so members are fully aware of what they can expect in the coming year.

Their improved benefits for 2023 are available and they’ve started several new programs, like the blended care program, which involves, among other things, member home monitoring and centers of excellence for the care of those of their members who are at severe or high risk of illness.

Their website sports an interactive member services portal that enables you to get and submit valuable information related to their membership or find information quickly and easily. They also have a real-time chatbot that allows members to chat with an agent if needed.

Keyhealth – Medical aid scheme

  • Product Medical Aid
  • Premium from R1,454
  • Unlimited Cover
    Unlimited hospital cover at private and state hospitals.
  • Maternity Benefits
    Exceptional maternity benefits, support, and general advice on health and wellness during pregnancy.
  • Healthcare Experts
    They connect you with healthcare experts who provide ongoing condition management and ensure compliance with treatment plans, enhancing overall health outcomes.
  • Disease risk management
    Their disease risk management programme assists you in effectively managing your chronic conditions.

Benefits of Keyhealth

  • You receive additional preventative care benefits at no extra cost.
  • Coverage for emergency medical treatment costs, including admin, facility, and ER fees.
  • Dental cover extends to a range of dental services, including both conservative and specialised dentistry.
  • Comprehensive coverage for eye care and treatment.

Join Keyhealth in a snap: click, choose, and join up online today]

Joining Keyhealth is as simple as clicking the online application button. This will redirect you to the join-up page where you will be directed to choose the type of application you wish to submit.

Brokers and government applications each have their portal which helps to keep things separate.

They have a comprehensive member guide along with the scheme rules and premiums which are invaluable to you when deciding to join.

Application site map

They have a useful application site map that guides you through the application process and details every step of the application process. So, you are never unsure of where your application is in the process.

If you’re uncertain about the costs of a package there is a useful quotation facility where you can request a quote before deciding which package is right for your needs.

The member portal also makes accessing information quick and easy

Submitting a claim to Keyhealth can be done in one of four ways, which makes this one of the most versatile platforms for you to use. Their mobile app is particularly useful for those who are constantly on the move.

Getting in contact with Keyhealth

They’ve one of the most comprehensive contact pages with detailed information about how to get in contact. They’ve made it super easy by providing telephone numbers, email addresses, fax options and postal and physical addresses for your convenience.

There’s a contact detail for every specific requirement from membership to specialist service provider claims submission and any authorization requirements you may need to get before hospital admission.

Should you prefer to work via a broker this option is also available to you, and they’ve provided their physical address as well, so you are welcome to pop into their offices and speak to an agent in person. They also have a client service centre that you can contact should you need to.

Submitting a claim with Keyhealth

All claims can be done directly by you or by your service provider. If you pay cash for a service, which some providers require, you can submit a reimbursement claim to the medical aid for processing and reimbursement.

As with all claims, it’s necessary to ensure that accurate information is displayed on the invoice or reimbursement form to ensure that they can quickly and efficiently process your claim.

They also encourage members who chose to submit claims themselves to ensure that all the necessary information about the service provider is accurately displayed and included in the submission of claims.

It’s important to note that the scheme will not pay out claims for services older than four months from the date of treatment

Keyhealth Contact

Physical Address

Opening Hours

  • Monday 07:30 – 15:30
  • Tuesday 07:30 – 15:30
  • Wednesday 07:30 – 15:30
  • Thursday 07:30 – 15:30
  • Friday 07:30 – 15:30
  • Saturday – Closed
  • Sunday – Closed