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flexiFED 1


flexiFED 2


flexiFED 3


flexiFED 4


myFED


maxima EXEC


maxima PLUS


In-hospital benefit

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R7 000 co-payment applies on voluntary use of non-network hospital. A R2 000 co-payment applies on voluntary use of non-network day clinics.

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 R12 500 co-payment applies on voluntary use of non-network hospitals

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.

Chronic disease benefit

You get cover for conditions on the Chronic Disease List (CDL) at a Designated Service Provider. Subject to basic formulary and MPL

You get cover for conditions on the Chronic Disease List (CDL) at either a Designated Service Provider or a provider of 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:

  • ADHD (for children from age 6 to 18)
  • Allergic Rhinitis (for children up to the age of 18)
  • Eczema (for children up to the age of 18)
  • Acne (up to the age of 21)
  • Depression
  • Generalised Anxiety Disorder
  • Post-traumatic Stress Disorder

Medicine can be obtained at a Designated Service Provider or a provider of choice. Subject to intermediate formulary and MPL

You get cover for conditions on the Chronic Disease List (CDL) and cover for 17 additional conditions. Medicine can be obtained at either a Designated Service Provider 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) at a Designated Service Provider (DSP). Subject to basic formulary and MPL

You get cover for conditions on the Chronic Disease List (CDL) and cover for 29 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

  

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 flu vaccinations, HIV finger prick test and wellness 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.

Maternity benefits

Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered by the MediVault and Wallet.

Cover for in-hospital maternity expenses and the following out-of-hospital benefits :

  • 2 x 2D scans;
  • Antenatal classes up to R1 120;
  • 8 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist;
  • Amniocentesis
  • Access to the Fedhealth baby programme
  • The doula benefit

Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :

2 x 2D scans;
Antenatal classes up to R1 120;
12 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist,
Amniocentesis
Access to the Fedhealth baby programme
The doula benefit

Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :

2 x 2D scans;
Antenatal classes up to R1 120;
12 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist,
Amniocentesis
Access to the Fedhealth baby programme
The doula benefit

Unlimited cover for natural births and emergency Caesarean sections.

Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :

2 x 2D scans;
Antenatal classes up to R1 120;
12 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist,
Amniocentesis
Access to the Fedhealth baby programme
The doula benefit

Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :

2 x 2D scans;
Antenatal classes up to R1 120;
12 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist,
Amniocentesis
Access to the Fedhealth baby programme
The doula benefit

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
• Treatment for up to 30 days after hospitalisation
• Specialised Radiology
• Trauma treatment at casualty ward
• Female contraceptives

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

• 7 days of take home medicine
• Treatment for up to 30 days after hospitalisation
• Specialised Radiology
• Trauma treatment at casualty ward
• Female contraceptives

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

  • 7 days of take home medicine 
  • Treatment for up to 30 days after hospitalisation
  • Specialised Radiology
  • Trauma treatment at casualty ward
  • Female contraceptives

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

  • 7 days of take home medicine
  • Treatment for up to 30 days after hospitalisation
  • Specialised Radiology
  • Trauma treatment at casualty ward
  • Female contraceptives
  • Unlimited network GP visits from the first visit

Fedhealth pays for the following day-to-day expenses from Risk:

• 7 days of take home medicine
• Trauma treatment at casualty ward
• Female contraceptives

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

  • 7 days of take home medicine
  • Treatment for up to 30 days after hospitalisation
  • Specialised Radiology
  • Trauma treatment at casualty ward
  • Female contraceptives
  • Unlimited network GP visits once annual savings has been depleted

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

  • 7 days of take home medicine
  • Treatment for up to 30 days after hospitalisation
  • Specialised Radiology
  • Trauma treatment at casualty ward
  • Female contraceptives
  • Unlimited network GP visits once annual savings and OHEB have been depleted

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: 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 Savings/ Wallet 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 R12 500 excess for planned procedures at a hospital of your choice.

Save 11% on your contribution by committing to use use Fedhealth's network of more than 100 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R12 500 excess for planned procedures at a hospital of your choice.

Save 11% on your contribution by committing to use use Fedhealth's network of more than 100 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R12 500 excess for planned procedures at a hospital of your choice.

Save 11% on your contribution by committing to use Fedhealth's network of more than 100 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R12 500 excess for planned procedures at a hospital of your choice.

Day-to-day benefits

You are allocated money for day-to-day medical expenses available in your personal MediVault. This amount is based on your family composition. You can choose from the FLEXIBLE MediVault where you simply transfer funds from your MediVault to your Wallet when you need to pay for day-to-day medical expenses. On the FIXED MediVault, the Scheme will transfer a pre-determined amount to your Wallet on 01 January every year - this amount will be pro-rated should you join after 1 January

flexiFED 1 (FLEXIBLE)

Member R9 300
Member + 1 dependant R12 900
Member + 2 dependants R14 100
Member + 3 or more dependants R15 300

 

flexiFED 1 (FIXED)

Member R3 600
Member + 1 dependant R5 400
Member + 2 dependants R6 600
Member + 3 or more dependants R8 400

You are allocated money for day-to-day medical expenses available in your personal MediVault. This amount is based on your family composition. You can choose from the FLEXIBLE MediVault where you simply transfer funds from your MediVault to your Wallet when you need to pay for day-to-day medical expenses. On the FIXED MediVault, the Scheme will transfer a pre-determined amount to your Wallet on 01 January every year - this amount will be pro-rated should you join after 1 January

flexiFED 2 (FLEXIBLE)

Member R9 900
Member + 1 dependant R15 300
Member + 2 dependants R21 000
Member + 3 or more dependants R24 600

 

flexiFED 2 (FIXED)

Member R4 800
Member + 1 dependant R7 200
Member + 2 dependants R11 400
Member + 3 or more dependants R15 000

You are allocated money for day-to-day medical expenses available in your personal MediVault. This amount is based on your family composition. You can choose from the FLEXIBLE MediVault where you simply transfer funds from your MediVault to your Wallet when you need to pay for day-to-day medical expenses. On the FIXED MediVault, the Scheme will transfer a pre-determined amount to your Wallet on 01 January every year - this amount will be pro-rated should you join after 1 January

flexiFED 3 (FLEXIBLE)

Member R11 100 
Member + 1 dependant R16 800
Member + 2 dependants R22 200
Member + 3 or more dependants R26 100

 

flexiFED 3 (FIXED)

Member R7 200
Member + 1 dependant R9 600
Member + 2 dependants R12 600
Member + 3 or more dependants R15 000

You are allocated money for day-to-day medical expenses available in your personal MediVault. This amount is based on your family composition. You can choose from the FLEXIBLE MediVault where you simply transfer funds from your MediVault to your Wallet when you need to pay for day-to-day medical expenses. On the FIXED MediVault, the Scheme will transfer a pre-determined amount to your Wallet on 01 January every year - this amount will be pro-rated should you join after 1 January

flexiFED 4 (FLEXIBLE)

Member R14 700 
Member + 1 dependant R26 700
Member + 2 dependants R30 300
Member + 3 or more dependants R33 900

 

flexiFED 4 (FIXED)

Member R12 000
Member + 1 dependant R21 000
Member + 2 dependants R24 000
Member + 3 or more dependants R27 600

Please see plan details for day-to-day benefits paid by the Scheme

The amount available for day-to-day expenses

Annual Savings

Member R10 560 
Adult Dependant R9 168 
Child Dependant (up to a maximum of 3 children) R3 348

 

Amount available for day-to-day expenses

Annual Savings and OHEB

Member R15 942 
Adult Dependant R12 418 
Child Dependant (up to a maximum of 3 children) R4 154

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