Fedhealth - Maxima Basis Grid Medical Aid Plan

Fedhealth - Maxima Basis Grid

The Fedhealth Maxima Basis Grid is a solid option if you don't require all the guarantees of comprehensive cover, but still want to cover all your bases. With unlimited cover at Network hospitals, you'll have top quality treatment when you need it, along with out of hospital savings benefits, chronic cover for 25 conditions, unlimited visits to network GPs and specialists and even mental health cover.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% Fedhealth Rate

Provider

Network hospitals only
R11 000 co-payment on voluntary use of non-network 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, Clicks or Pharmacy Direct

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS AND OHEB
Member: R4 332
Adult: R 3 792
Child: R1 320
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 and after savings: two 2D scans, antenatal classes up to: R1000 by a midwife, 12 consultations at stated providers, 1 amniocentesis

Contributions

Contributions

Member: R2 407
Adult: R2 106
Child: R732

 

 

 

 

 

 

 

 


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