Fedhealth - FlexiFed 3 Any Flexible Option Medical Aid Plan

Fedhealth - FlexiFed 3 Any Flexible Option

Fedhealth’s FlexiFed 3 Any Flexible 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 Flexible Option and FlexiFed 3 Elect Flexible Option 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% (Fedhealth Rate)

Provider

FlexiFed 3 Any Flexible Option:

Any hospital

 

FlexiFed 3 Grid Flexible Option:

Grid Network hospitals

 

FlexiFed 3 Elect Flexible Option:

Elect Network hospitals

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: R300 200 at DSP's

Organ Transplants: R300 200 at DSP's

Dialysis: R300 200 at DSP's

Internal Prosthesis: Contracted Provider: Must use ICPS Hip and Knee network or JointCare for single non-PMB hip and knee joint replacements. Non-use of Contracted Provider (CP) will result in co-payment.

Chronic

27 conditions+8

Out of Hospital Benefits

Saving / Day to Day / OHEB

FlexiFED 3 Any Flexible option:

SAVINGS

Member: R324

Adult: R288

Child:108

 

FlexiFED 3 Grid Flexible option:

Member: R288

Adult: R264

Child: 96

 

FlexiFED 3 Elect Flexible option:

SAVINGS

Member: R252

Adult: R204

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: R10 800

Member+1: R16 200

Member+2: R21 600

Member+2+: R25 200

Threshhold / Safety Net

Member: R5 600

Member+1: R10 600

Member+2: R12 300

Member+2+: R14 300

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
R1 120 antenatal classes
12 antenatal or postnatal classes

Contributions

Contributions

FlexiFED 3 Any Flexible option:

Member: R2 825

Adult: R2 549

Per Child: R1 014

 

FlexiFED 3 Grid Flexible option:

Member: R2 511

Adult: R2 270

Per Child: R903

 

FlexiFED 3 Elect Flexible option:

Member: R2 117

Adult: R1 911

Per Child: R762

 

 

 

 

 

 


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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