Offers unlimited hospital cover at 300%, unlimited major medical benefits, day-to-day cover and family chronic disease benefits.
Established in 1936 as the Reef Medical Scheme, Fedhealth is one of the oldest medical aid providers in South Africa. It's an established and financially secure company, with a solvency ratio of 25.75%, a global credit rating of -AA and a membership base of close on 170,000.
Who should use this provider?
With an average age of 48 years, a pensioner ratio of 9% and a chronic percentage of 13.73%, Fedhealth is ideally suited to more mature clients and their dependants. The Ultima product range has been specifically designed with older people in mind, while the Maxima range covers all demographics.
Fedhealth Medical Aid Special Benefits
- All emergency treatment in casualty wards prior to admission to hospital, including general radiology, is covered by Fedhealth's in-hospital benefit.
- Rates applicable to dependant children apply to single students up to the age of 27 years.
- If you or your dependants are diagnosed with a chronic condition, you can upgrade to an option with a higher benefit limit at any time.
- CT scans and MRIs are covered by the in-hospital benefit, regardless of whether they're performed in hospital or as out-patient procedures.
- Former child dependants of principal members can join without medical underwriting.
- Seven days worth of "take home medicine" is covered by the in-hospital benefit.
- Children under the age of 8 are covered for hospitalised dentistry.
Fedhealth Medical Aid Plans
A premium medical aid package covering medical aid rates at 200%, 51 chronic conditions and day-to-day medical costs for the member and dependents.
Provides unlimited private hospital cover, limited day-to-day benefits with an above threshold and chronic disease benefit, covering 39 conditions. Cover includes CT scans, emergency cover in a casualty ward and a 30 day post-hospitalization benefit. Members are allowed to motivate upgrades in life changing events.
Fedhealth Maxima Basis offers unlimited private hospital cover at 200% of medical aid rates, limited day-to-day benefits and an above threshold benefit as a security feature for unforeseen events. This option is suitable for young, healthy members that do not require day-to-day cover but would like good hospital cover.
The Maxima Core hospital plan provides unlimited hospital cover at 200% of Fedhealth rates and prescribed minimum benefits for 25 chronic conditions. This is an excellent hospital plan that offers members a casualty ward benefit, a 30 day post hospitalization benefit, pays for MRIs and CT scans from the risk benefit and allows members to motivate upgrades in life changing events.
The Maxima Entry Zone hospital plan offers unlimited cover at a network of hospital at 100% of the Fedhealth rate and chronic cover for 25 PMB conditions at a designated network. The plan also covers MRIs and CT scans from risk, as well as emergencies in a casualty ward. Includes a 30 day post-hospitalization benefit
Fedhealth's Maxima Standard Elect plan offers cover at 200% of medical aid rates at a network of private hospitals, along with out of hospital benefits.
Maxima Entrysaver offers you a hospital plan at a network of private hospitals and limited out of hospital savings. Fedhealth benefits include child rates for full time students until age 27, the ability to motivate upgrades in life changing events and MRI and CT scans paid from risk.
This option is suitable for those that require a Hospital plan with limited out of hospital savings but would like freedom to choose their own hospital. This is a great plan for students, who pay child rates until the age of 27.
Fedhealth Blue Door Plus offers salary-banded cover for low-income, first-time buyers of medical aid in South Africa. The plan provides cover for major medical procedures at state or network private hospitals. Organ transplants and renal dialysis are covered as Prescribed Minimum Benefits (PMBs) at state facilities only, and there’s cover for cancer as a PMB at designated service providers.
The plan also provides day-to-day benefits for GP and specialist consultations, dentistry, optometry, X-rays and blood tests at network providers.