Fedhealth - Maxima Entrysaver Medical Aid Plan

Fedhealth - Maxima Entrysaver

Maxima Entrysaver offers you a hospital plan at a network of private hospitals and limited out of hospital savings. Fedhealth benefits include child rates for full time students until age 27, the ability to motivate upgrades in life changing events and MRI and CT scans paid from risk.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% of the Fedhealth rate

Provider

Network hospitals only 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
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

Member: R3 396
Spouse: R2 508
Child: R1 092
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

Contributions

Contributions

Member: R1 759
Adult: R1 299
Child: R565

 

 

 

 

 

 

 

 


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