flexiFED Savvy |
flexiFED 1 |
flexiFED 2 |
flexiFED 3 |
flexiFED 4 |
maxima EXEC |
maxima PLUS |
myFED |
||||
---|---|---|---|---|---|---|---|---|---|---|---|
In-hospital benefit |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R7 800 co-payment applies on voluntary use of non-network hospital. A R2 200 co-payment applies on voluntary use of non-network day surgery facilities. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R8 400 co-payment applies on voluntary use of non-network hospital. A R2 500 co-payment applies on voluntary use of non-network day surgery facilities. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R14 700 co-payment applies on voluntary use of non-network hospitals |
|||
Chronic disease benefit |
You get cover for conditions on the Chronic Disease List (CDL) at a Preferred Provider. Subject to basic formulary and MPL |
You get cover for conditions on the Chronic Disease List (CDL) at a Pharmacy of your choice. Subject to basic formulary and MPL |
You get cover for conditions on the Chronic Disease List (CDL) at a provider of your choice. Subject to the intermediate formulary and MPL. |
You get cover for conditions on the Chronic Disease List (CDL) and cover for 7 additional conditions:
Medicine can be obtained at a provider of choice. Subject to intermediate formulary and MPL |
You get cover for conditions on the Chronic Disease List (CDL) and cover for 18 additional conditions. Medicine can be obtained at a provider of choice. Subject to intermediate formulary and MPL. Take a look at the conditions covered on this option
|
You get cover for conditions on the Chronic Disease List (CDL) and cover for 30 additional conditions. Medicine can be obtained at a provider of choice. Subject to comprehensive formulary and MPL. Take a look at the conditions covered on this option
|
You get cover for conditions on the Chronic Disease List (CDL) and cover for 43 additional conditions. Medicine can be obtained at a provider of choice. Subject to comprehensive formulary and MPL. Take a look at the conditions covered on this option
|
You get cover for conditions on the Chronic Disease List (CDL) at a Pharmacy of your choice. Subject to basic formulary and MPL |
|||
Screening benefits |
Cover for women's, men's, children's, cardiac, and general health risk assessments and screenings. |
Cover for women's, men's, children's, cardiac, and general health risk assessments and screenings. |
Cover for women's, men's, children's, cardiac, and general health risk assessments and screenings. |
Cover for women's, men's, children's, cardiac and general health risk assessments and screenings. |
Cover for women's, men's, children's, cardiac and general health risk assessments and screenings. |
Cover for women's, men's, children's, cardiac, and general health risk assessments and screenings for older members. |
Cover for women's, men's, children's, cardiac and general health risk assessments and screenings for older members. |
Cover for flu vaccinations, HIV finger prick test and wellness screenings. |
|||
Maternity benefits |
Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered from Fedhealth Savings |
Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered from Fedhealth Savings |
Cover for in-hospital maternity expenses and the following out-of-hospital benefits :
|
Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits : 2 x 2D scans; |
Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits : 2 x 2D scans; |
Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits : 2 x 2D scans; |
Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits : 2 x 2D scans; |
Unlimited cover for natural births and emergency Caesarean sections. |
|||
Additional benefits |
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer • 7 days of take home medicine |
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer • 7 days of take home medicine |
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer • 7 days of take home medicine |
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer
|
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer
|
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer
|
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer
|
Fedhealth pays for the following day-to-day expenses from Risk: • 7 days of take home medicine |
|||
Threshold benefit |
In order to access your Threshold Benefit, you need to submit all day-to-day claims to accumulate to the Threshold Level. Thereafter, certain claims will be paid from the Threshold Benefit. These include preventative dentistry and unlimited nominated network GP visits. |
In order to access your Threshold Benefit, you need to submit all day-to-day claims to accumulate to the Threshold Level. Thereafter, certain claims will be paid from the Threshold Benefit. These include preventative dentistry and unlimited nominated network GP visits. |
In order to access your Threshold Benefit, you need to submit all day-to-day claims to accumulate to the Threshold Level. Thereafter, certain claims will be paid from the Threshold Benefit. These include: basic dentistry and unlimited nominated network GP visits. |
In order to access your Threshold Benefit, you need to submit all day-to-day claims to accumulate to the Threshold Level. Thereafter, certain claims will be paid from the Threshold Benefit. These include basic dentistry and unlimited nominated network GP visits. |
The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Fedhealth Savings or self-funded through the year at the Fedhealth Rate. |
The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Savings or self-funded through the year at the Fedhealth Rate. |
The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Savings and OHEB or self-funded through the year at the Fedhealth Rate. |
||||
Pay less on your monthly contributions |
Save on your contribution by choosing a restricted hospital network or just pay an R13 800 excess for planned procedures at a hospital of your choice. |
Save on your contribution by choosing a restricted hospital network or just pay an R14 700 excess for planned procedures at a hospital of your choice. |
Save 10% on your contribution by committing to use Fedhealth's network of more than 120 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R14 700 excess for planned procedures at a hospital of your choice. |
Save 10% on your contribution by committing to use Fedhealth's network of more than 120 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R14 700 excess for planned procedures at a hospital of your choice. |
Save 10% on your contribution by committing to use Fedhealth's network of more than 120 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R14 700 excess for planned procedures at a hospital of your choice. |
|
|||||
Day-to-day benefits |
Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest-free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition. flexiFED 1 (Supercharged FLEXIBLE Savings Plan) Member R9 696
flexiFED 1 (Supercharged Savings Plan) Member R3 744 |
Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest-free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition. flexiFED 1 (FLEXIBLE Savings Plan) Member R6 540
flexiFED 1 (Savings Plan) Member R3 744 |
Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition. flexiFED 2 (FLEXIBLE Savings Plan) Member R9 828
flexiFED 2 (Savings Plan) Member R4 980 |
Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest-free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition. flexiFED 3 (FLEXIBLE Savings Plan) Member R11 220
flexiFED 3 (Savings Plan) Member R7 488 |
Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition. flexiFED 4 (FLEXIBLE Savings Plan) Member R15 012
flexiFED 4 (Savings Plan) Member R12 468 |
The amount available for day-to-day expenses Annual Savings Member R11 556
|
Amount available for day-to-day expenses Annual Savings and OHEB Member R16 922 |
Please see plan details for day-to-day benefits paid by the Scheme |
|||
Go to PLAN | Go to PLAN | Go to PLAN | Go to PLAN | Go to PLAN | Go to PLAN | Go to PLAN | Go to PLAN |