Fedhealth - FlexiFED 3 Grid Fixed Option Medical Aid Plan

Fedhealth - FlexiFED 3 Grid Fixed Option

Ideal for growing families, the flexiFED 3 Grid plan offers unlimited hospital cover at Fedhealth’s network of hospitals. It also offers generous maternity and childhood benefits, savings for day-to-day expenses, valuable threshold benefits and screening benefits.

Monthly contributions are 11% lower than for the flexiFED 3 plan that allows choice of non-grid private hospitals.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Fedhealth Rate)

Provider

Grid 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

SAVINGS

Member: R288

Adult: R264

Child: R96

Pooled Day to Day Benefit

Fixed MediVault amount automatically activated (MediVault Savings is pro-rated from date of joining)

Member: R7 200

Member+1: R9 600

Member+2: R12 600

Member+2+: R15 000

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 and 2 mental health consultations per person

Maternity Care

2x2D Antenatal scans, R1 120 antenatal classes, 12 antenatal classes or postnatal

Contributions

Contributions

Member: R3 111

Adult: R2 469

Per Child: R1 153

 

 

 

 

 

 

 

 


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