Fedhealth - FlexiFED 4 Grid Fixed Option Medical Aid Plan

Fedhealth - FlexiFED 4 Grid 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.

Monthly contributions for the flexiFED 4 Grid medical aid plan are about 11% lower than for the plan with unlimited choice of hospitals.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Fedhealth Rate)

Provider

Grid 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: R312

Adult: R288

Child: R84

Pooled Day to Day Benefit

Members can have savings added and rates will change to:

Member: R5591,

Member+Adult: R10534,

M+Adult+Child: R12162,

M+Adult+2 kids: R13849

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: R4552

Adult: R4163

Per Child: R1372

 

 

 

 

 

 

 

 


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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