Fedhealth - FlexiFED 4 Elect Fixed Option Medical Aid Plan

Fedhealth - FlexiFED 4 Elect Fixed Option

Solid cover suitable for mature families, with unlimited hospital cover at any hospital in Fedhealth’s private network, savings for day-to-day expenses, screening benefits and the option to upgrade plans within 30 days of a life-changing event.

On the Elect plan, you save up to 25% on monthly contributions (compared to the standard flexiFED 4 plan) by choosing to make a co-payment for planned procedures in hospital.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Fedhealth Rate)

Provider

Elect Network

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: R499 100 at DSP's

Organ Transplants: R499 100

Dialysis: R499 100

Internal Prosthesis: Limits apply

Chronic

26 conditions+18

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS

Member: R276

Adult: R240

Child: R72

Pooled Day to Day Benefit

Members can have savings added and rates will change to:

Member: R4 844,

Member+Adult: R9170,

M+Adult+Child: R10593,

M+Adult+2 kids: R12075

AVAILABLE DAY TO DAY:

Member: R12 468

Member+Adult: R21 828

M+Adult+Child: R24 900

M+Adult+2 kids: R28 680

Threshhold / Safety Net

Member: R7000

Member+Adult: R33 700,

M+Adult+child: R38 200,

M+Adult+2 kids+: R42 700

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, GP's unlimited

Maternity Care

Paid from Risk, the Savings or self-funded. Accumulates at cost to Threshold level. limited to 2 scans before and after threshold

Contributions

Contributions

Member: R3805

Adult: R3546

Per Child: R1167

 

 

 

 

 

 

 

 


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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