Fedhealth - Maxima Dynamic Saver Medical Aid Plan

Fedhealth - Maxima Dynamic Saver

The Fedhealth Maxima Dynamic Saver is an entry level medical aid. The plan offers 100% cover at hospitals, with non-Network hospitals accessible with a R11,000 co-payment. In-hospital cover of GPs and specialists is unlimited, while some treatments are limited to PMB conditions or state medical facilities. The plan includes a small savings account.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% of the Fedhealth Rate

Provider

Network hospitals only R11 000 co-payment on voluntary use of non-network hospital

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: Unlimited
Organ Transplants: PMBs
Dialysis: PMBs only in state facilities
Internal Prosthesis: PMBs only
Mental Health: PMBs only

Chronic

25 conditions at network service provider: Medi-Rite Pharmacy, Dischem, Clicks or Pharmacy Direct

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R2 100
Spouse: R 1 932
Child: R708

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: R1 133
Adult: R1 041
Child: R381

 

 

 

 

 

 

 

 


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