Fedhealth - Maxima Exec Medical Aid Plan

Fedhealth - Maxima Exec

A premium medical aid package covering medical aid rates at 200%, 51 chronic conditions and day-to-day medical costs for the member and dependents.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% (Fedhealth Rate)
Non-Fedhealth specialists paid at 200% of the (Fedhealth Rate).

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: Treatment plan R555 900
Organ Transplants: R555 900
Dialysis: R555 900
Internal Prosthesis: Procedure based

Chronic

51 conditions
Additional conditions
Limits apply:
R 7 100 - Individual
R13 100 - Family

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS & OHEB
Member: R9 024
Adult: R7 824
Child: R2 820

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R13 651
Adult: R10 482
Child: R3 511

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Various limits apply

Maternity Care

2 x 2D antenatal scans before and after Threshold

Contributions

Contributions

Member: R5 336
Adult: R4 625
Per Child: R1 666

 

 

 

 

 

 

 

 


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