Fedhealth - Maxima Entry Zone Medical Aid Plan

Fedhealth - Maxima Entry Zone

The Maxima Entry Zone hospital plan offers unlimited cover at a network of hospital at 100% of the Fedhealth rate and chronic cover for 25 PMB conditions at a designated network. The plan also covers MRIs and CT scans from risk, as well as emergencies in a casualty ward. Includes a 30 day post-hospitalization benefit

In Hospital Benefits

Overall Annual Limit

Unlimited at Network up 100% (Fedhealth rate)

Provider

R6 100 co-payment on voluntary use of non-network hospital

GP's & Specialists

GPs & specialists: Unlimited
Radiology & pathology: Unlimited
Oncology: PMBs
Organ transplants: PMBs only
Dialysis: PMBs only
Internal prostheses: 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

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 424
Adult: R1 088
Child: R482

 

 

 

 

 

 

 

 


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