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

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: R290 400 at DSP's
Organ Transplants: R290 400
Dialysis: R290 400
Internal Prosthesis: PMB's for some and Limits apply

Chronic

26 conditions+3

Out of Hospital Benefits

Saving / Day to Day / OHEB

FlexiFed 3 option:

SAVINGS  

Member: R300

Adult: R264

Child: R108

 

Grid option:

Member: R264

Adult: R240

Child: R96

 

Elect option:

Member: R228

Adult: R192

Child: R84

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: R10 800

Member+1: R16 200

Member+2: R21 600

Member+2+: R25 200

Threshhold / Safety Net

Member: R10 800

Member+1: R16 200

Member+2: R21 600

Member+2+: R25 200 

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
12 antenatal or postnatal classes

Contributions

Contributions

FlexiFED 3 Any option:
Member: R2 545
Adult: R2 296
Per Child: R915

 

FlexiFED 3 Grid option:
Member: R2 262
Adult: R2 044
Per Child: R814

 

FlexiFED 3 Elect option:

Member: R1 907

Adult: R1 725

Per Child: R687

 

 

 

 

 

 


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