Fedhealth - FlexiFED 1 Elect Network Fixed Option Medical Aid Plan

Fedhealth - FlexiFED 1 Elect Network Fixed Option

Affordable, entry-level hospital plan with unlimited hospital cover at Fedhealth’s network of hospitals, plus unlimited GP visits, cover for female contraception and day-to-day savings.

With the flexiFED 1 Elect medical aid plan, you pay up to 25% lower monthly contributions in return for choosing to pay a co-payment for planned procedures in hospital.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Fedhealth Rate)

Provider

Elect Network hospitals

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: PMB's

Organ Transplants: PMB's

Dialysis: PMB's

Internal Prosthesis: PMB's

Chronic

26 conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS

Member: R240

Adult: R180

Child: R72

Pooled Day to Day Benefit

Members can have savings added and rates will change to:

Member: R2028,

M+Adult: R3525,

M+Adult+Child: R4253,

M+Adult+2 kids: R5034

AVAILABLE DAY TO DAY:

Member: R3 744,

Member+Adult: R5 616,

Member+Adult+Child: R6 852,

Member+Adult+2 kids: R8 724

Threshhold / Safety Net

Member: R5100

Member+Adult: R8100

Member+Adult+child: R9900

M+ Adult+2 kids: R11800

Self-Payment Gap Before Threshold

Claims accumulated from day to day

Above Threshold Limits

Pays for: certain things once reached/limits apply

Maternity Care

Paid from Savings or self-funded. Accumulates at cost to Threshold level

Contributions

Contributions

Member: R1 716

Adult: R1341

Per Child: R625

 

 

 

 

 

 

 

 


Finding it difficult to make sense of all this? Not to worry, you can:

Finding it difficult to make sense of all this? Not to worry, you can:

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