23/03/2015
Some interesting information regarding Discovery Key Care medical aid:
APPLICABLE TO KEYCARE PLUS AND KEYCARE ACCESS PLANS
Cover for GP visits"
When joining, you must choose a GP from
the KeyCare GP network. You must go to your chosen
GP for us to cover your consultations and some minor
procedures.
Blood, urine and other fluid and
tissue tests:
We pay for a list of blood, urine and other fluid
and tissue tests. Your chosen GP must ask for these
tests by filling in a KeyCare pathology form.
Day-to-day medicine:
We pay for medicines from our medicine list if they
are prescribed by your chosen KeyCare network GP.
You get one out-of-network GP visit
If you need to see a doctor and your chosen GP
from our network is not available for you to see,
each person on your membership can go to any other
GP once a year. We will cover the GP visit, with
selected blood tests and x-rays and medicines on
our medicine list.
Cover for dentistry:
We cover consultations, fillings and tooth removals at
a dentist in our dentist network.
Cover for eye care:
We cover one eye test for each person, but you
must go to an eye doctor in our network. The eye
doctor will have a specific range of glasses that you
can choose from. You can get a set of contact lenses
instead of glasses if you choose to. You can get new
glasses or contact lenses every 24 months.
Basic x-rays:
We pay for a list of basic x-rays at a network provider.
Your chosen GP must ask for the x-rays to be done.
Casualty visits:
On KeyCare Plus you can go to any casualty unit
at one of the KeyCare network hospitals. You have
to pay the first R250 of the consultation.
On KeyCare Access, other than for emergencies
and trauma, each person can go to casualty at one
of the KeyCare network hospitals once a year.
You have to pay the first R250 of the consultation.
You don’t need to call us if you go to casualty.
Trauma Recovery Extender Benefit
We will cover specific out-of-hospital claims for your
recovery after certain traumatic events. We’ll cover
you for the rest of the year in which the trauma took
place, and in the year after your trauma.
You may need to apply for this benefit.
Medical equipment:
We cover wheelchairs, wheelchair batteries
and cushions, transfer boards and mobile ramps,
commodes, long-leg calipers, crutches and walkers on
the medical equipment list, if you get them
from a network provider. There is an overall limit
of R4 700 for each family.
Other types of healthcare:
We do not cover other types of healthcare
professionals, such as physiotherapists, psychologists,
speech therapists, audiologists, homeopaths or
chiropractors from your day-to-day benefits.
For more information regarding this affordable medical aid contact us today at Attooh financial services at 013 656 0533
