Fedhealth - FlexiFed 1 Network Flexible Option Medical Aid Plan

Fedhealth - FlexiFed 1 Network Flexible Option

FlexiFed 1 Network Flexible Option is ideal for anyone who’s young, healthy and single. It offers unlimited hospital benefits at network hospitals, at an affordable rate.

There’s also a FlexiFed Elect Flexible Option. This limits members to using specific Elect network hospitals and features lower monthly contributions.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% of the Fedhealth rate

Provider

Network hospitals

GP's & Specialists

GPs and specialists: Unlimited
Radiology and pathology: Unlimited
Oncology: PMBs
Organ transplants: PMBs
Dialysis: PMBs
Internal prosthesis: PMBs

Chronic

26 conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R324

Adult: R240

Child: R108

Pooled Day to Day Benefit

Members can have savings added and rates will change to:

Member: R2513,

Member+Adult: R4394,

Member+Adult+Child: R5303

M+Adult+2 kids: R6265

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: R2 201

Adult: R1 725

Per Child: R806

 

 

 

 

 

 

 

 


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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