Fedhealth - Maxima Core Grid Medical Aid Plan

Fedhealth - Maxima Core Grid

Maxima Core Grid is a step up from entry level medical aid cover, offering unlimited cover at the Fedhealth rate and access to network hospitals. Unlimited access to in-hospital GPs and specialists is included in the cover, and there is median level cover for oncology, organ transplants and other high-cost treatments. Chronic cover is limited to PMBs and the plan does not offer out of hospital benefits.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Fedhealth rate)

Provider

Network hospitals
R11 000 co-payment for non-network hospital

GP's & Specialists

GPs & specialists: Unlimited
Radiology & pathology: Unlimited
Oncology: R264 500 at ICON
Organ transplants: R264 500
Dialysis: R264 500
Internal prostheses: Procedure based
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

No benefit

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

4 postnatal visits with midwife, Fedhealth Baby programme

Contributions

Contributions

Member: R1 838
Adult: R1 596
Child: R646

 

 

 

 

 

 

 

 


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