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: R480 400 at DSP's

Organ Transplants: R480 400 at DSP's

Dialysis: R480 400 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+21

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS

Member: R252

Adult: R216

Child: R72

Pooled Day to Day Benefit

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

Member: R12 000

Member+1: R21 000

Member+2: R24 000

Member+2+:R27 600

Threshhold / Safety Net

Member: R14 700

Member+1: R26 700

Member+2: R30 300

Member+2+: R33 900

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

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

Contributions

Contributions

Member: R3 806

Adult: R3 348

Per Child: R1 131

 

 

 

 

 

 

 

 


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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