LA KeyPlus

This benefit option has Major Medical Benefit (MMB) cover for all in-hospital and large costs, and provides cover for the Prescribed Minimum Benefit (PMB) Chronic Disease List (CDL) conditions according to a formulary (medicine list determined by the Scheme) and day-to-day medical expense benefits, mainly through network providers.

It has a Designated Service Provider (DSP) for in-hospital procedures, which is the KeyCare Hospital network. In an emergency members may use any hospital, but in all other instances a KeyCare hospital must be used.

This applies specifically to all non-emergency Prescribed Minimum Benefits (PMB) and other planned procedures. If a Network Hospital is not used in these elective cases, no benefit will be payable.