Fedhealth - flexiFED 2 Medical Aid Plan

Fedhealth - flexiFED 2

Fedhealth’s flexiFED 2 option is perfect for young, growing families. It offers unlimited hospital benefits at private hospitals, along with maternity and basic dental benefits.

flexiFED 2 Grid and Elect options are also available. These limit members to using particular Grid or Elect network hospitals and feature lower contributions.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% of the Fedhealth rate

Provider

Any hospital

GP's & Specialists

GPs and specialists: Unlimited
Radiology and pathology: Unlimited
Oncology: R277 900 at designated service providers (DSPs)
Organ transplants: R277 900
Dialysis: R277 900
Internal prosthesis: PMBs

Chronic

26 conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS
Member: R300
Adult: R252
Child: R84

Grid option:
SAVINGS
Member: R 264
Adult: R 228
Child: R84

Elect option:
SAVINGS
Member: R228
Adult: R 192
Child: R72

Pooled Day to Day Benefit

Members may activate Medivault at any point and are charged from the following month, over 12 months with no interest.
Member: R4200
Member + 1: R7800
Member + 2: R9000
Member + 2+: R10 800

Grid option:
Member: R3600
Member + 1: R6900
Member + 2: R8100
Member + 2+: R9600

Elect option:
Member: R3300
Member + 1: R6000
Member + 2: R6900
Member + 2+: R8100

Threshhold / Safety Net

Not Member: R4200,

Member + 1: R7800,

Member + 2: R9000,

Members +2+: R10800

Self-Payment Gap Before Threshold

All claims accumulated from day to day

Above Threshold Limits

Pays for:
Basic dentistry (limits apply)
Unlimited GP visits at network providers
Two mental health consultations per person

Maternity Care

Two 2D antenatal scans
R1050 antenatal classes
8 antenatal or postnatal classes

Contributions

Contributions

Member: R2086
Adult: R1768
Per Child: R615

 

Grid option:
Member: R1856
Adult: R1574
Per Child: R548

 

Elect option:

Member: R1565

Adult: R1327

Per Child: R462

 

 

 

 

 

 


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