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: R290 400 at designated service providers (DSPs)
Organ transplants: R290 400
Dialysis: R290 400
Internal prosthesis: PMBs

Chronic

26 conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

FlexiFed 2 option:

SAVINGS

Member: R300

Adult: R252

Child: R84

 

FlexiFed 2 grid option:

SAVINGS

Member: R264

Adult: R 228

Child: R84

 

FlexiFed 2 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/no interest.
Member: R9 600
Member+1: R15 000
Member+2: R20 400
Member+2+: R24 000

Threshhold / Safety Net

Member: R9 600 
Member+1: R15 000 
Member+2: R20 400 
Member+2+: R24 000

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
R1090 antenatal classes
8 antenatal or postnatal classes

Contributions

Contributions

FlexiFed 2 option:
Member: R2 275
Adult: R1 975
Per Child: R675

 

FlexiFED 2 Grid option:
Member: R2 022
Adult: R1 759
Per Child: R301

 

FlexiFED 2 Elect option:

Member: R1 703

Adult: R1 484

Per Child: R508

 

 

 

 

 

 


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