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  Discovery Keycare Plus

Discovery

Scheme option info for a single person

Scheme dataDiscovery
Keycare Plus 2012
Scheme membership size1019419
Scheme solvency24.7%
Plan DataDiscovery
Keycare Plus 2012
Plan typeCapitated
Membership size169067
Hospital BenefitsDiscovery
Keycare Plus 2012
Hospital limitUnlimited
Account paid at100%
100% of Discovery health rate if non-network specialist. Claims paid in full if part of network.
Choice of hospitalContracted Network Hospitals only
Network of KeyCare hospitals
Standard co-payment for hospital admissionsNo
Hospital Co-Payment / DeductableNo co-payments, but extensive list of exclusions apply
Chronic Medicine BenefitsDiscovery
Keycare Plus 2012
Number of conditions covered26
Does scheme pay for high cost specialist medicinesNo stated benefit
Day to day benefitsDiscovery
Keycare Plus 2012
Benefits

This is a capitated product and day to day benefits are provided by a limited network of providers. Treatment protocols and medicine lists apply.

RATESDiscovery
Keycare Plus 2012
Base rate
Member: R 581
Adult: R 581
Child: R 168

This comparison is a summarised overview of the scheme options. The rules of the scheme prevail. (C) Jenus Group