Fedhealth - Maxima Advanced Medical Aid Plan

Fedhealth - Maxima Advanced

Fedhealth Maxima Advanced offers a good combination of chronic cover, with 51 conditions covered, as well as unlimited hospital cover at any hospital in South Africa. This plan also offers mental health cover as well as an excellent medication cover at major pharmacy chains.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Fedhealth Rate)
Non-Fedhealth Specialists paid at 100% of the Fedhealth Rate.

Provider

Any hospital

GP's & Specialists

GPs & specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: R423 200
Organ transplants: R423 200
Dialysis: R423 200
Internal prostheses: Procedure based
Mental health: R27 900

Chronic

51 conditions at network service provider: Medi-Rite Pharmacy, Dischem, Clicks or Pharmacy Direct
Limit: R4480 or R8 060 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS AND OHEB
Member: R4 332
Adult: R3 768
Child: R1 296

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

Subject to savings

Contributions

Contributions

Member: R3 607
Adult: R3 138
Child: R1 082

 

 

 

 

 

 

 

 


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