Fedhealth - Maxima Basis Medical Aid Plan

Fedhealth - Maxima Basis

Fedhealth Maxima Basis offers unlimited private hospital cover at 100% of medical aid rates, limited day-to-day benefits and an above threshold benefit as a security feature for unforeseen events. This option is suitable for young, healthy members that do not require day-to-day cover but would like good hospital cover.

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: R264 500
Organ transplants: R264 500
Dialysis: R264 500
Internal prostheses: Procedure based & PMBs
Mental health: R23 900

Chronic

25 conditions at Network Service Provider: Medi-Rite Pharmacy, Dischem or Pharmacy Direct

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS
Member: R4 896
Adult: R4 272
Child: R1 488
Unlimited GP visits after savings at Fedhealth network GPs

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. After savings: 2 x 2D scans, antenatal classes up to R1 000 by a midwife, 12 consultations at stated providers, 1 amniocentesis

Contributions

Contributions

Member: R2 722
Adult: R2 374
Child: R826

 

 

 

 

 

 

 

 


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:

Get free quotes & medical aid advice