Fedhealth - flexiFED 4 Medical Aid Plan

Fedhealth - flexiFED 4

Ideal, all-round cover with unlimited hospital benefits at any private hospital and an attractive threshold benefit.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% of the Fedhealth rate

Provider

Any hospital
Grid option: Grid Network
Elect option: Elect Network

GP's & Specialists

GPs and specialists: Unlimited
Radiology and pathology: Unlimited
Oncology: R444 700 at designated service providers (DSPs)
Organ transplants: R444 700
Dialysis: R444 700
Internal prosthesis: Limits apply

Chronic

26 conditions + 16

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS
Member: R 300
Adult: R264
Child: 96

Grid option:
Member: R264
Adult: R240
Child: 84

Elect option:
Member: R228
Adult: R204
Child: R72

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: R7500
Member + 1: R14100
Member + 2: R16200
Member + 2+: R19500

Grid option:
Member: R6600
Member + 1: R12600
Member + 2: R14400
Member + 2+: R17400

Elect option:
Member: R5700
Member + 1: R10500
Member + 2: R12300
Member + 2+: R14700

Threshhold / Safety Net

Not Member: R13650,

Member + 1: R24150,

Member + 2: R27660,

Member +2+: R31500

Self-Payment Gap Before Threshold

Claims accumulated from day to day and self-funded

Above Threshold Limits

Pays for certain additional benefits up to limits and for unlimited GP visits

Maternity Care

No benefit

Contributions

Contributions

Member: R3031
Adult: R2684
Per Child: R927

 

Grid option:
Member: R2698
Adult: R2389
Per Child: R825

 

Elect option:

Member: R2274

Adult: R2052

Per Child: R709

 

 

 

 

 

 


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