Fedhealth - flexiFED 3 Medical Aid Plan

Fedhealth - flexiFED 3

Fedhealth’s flexiFED 3 option is ideal for young, growing families. It offers unlimited hospital benefits at private hospitals, along with attractive maternity and basic dental benefits. Includes cover for more antenatal/postnatal classes and chronic conditions than the flexiFED 2 option.

flexiFED 3 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+3

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS
Member: R300
Adult: R264
Child: 108

Grid option:
Member: R264
Adult: R240
Child: 96

Elect option:
Member: R 228
Adult: R192
Child: 84

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: R5100

Member + 1: R9600

Member + 2: R11100

Member + 2+: R13200

 

Grid option:

Member: R4500

Member + 1: R8700

Member + 2: R9900

Member + 2+: R11700

 

Elect option:

Member: R3900

Member + 1: R7200

Member + 2: R8400

Member + 2+: R9900

Threshhold / Safety Net

Not member: R5100,

Member + 1: R9600,

Member + 2: R11100,

Member +2+: R13200

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
12 antenatal or postnatal classes

Contributions

Contributions

Member: R2294
Adult: R2018
Per Child: R818

 

Grid option:
Member: R2041
Adult: R1797
Per Child: R728

 

Elect option:

Member: R1721

Adult: R1513

Per Child: R614

 

 

 

 

 

 


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