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 private hospital but some hospitals are excluded and will attract a co-payment of R7800 unless it's an emergency

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: Treatment plan R6 24 000: DSP's

Organ Transplants: R624 000

Dialysis: R624 000

Internal Prosthesis: Procedure-based, limits apply

Chronic

PMB + Additional conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS

Member: R11 556

Adult: R10 032

Child: R3 564

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R16 400

Adult: R12 600

Child: R4200

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: R8305

Adult: R7209

Per Child: R2 566

 

 

 

 

 

 

 

 


Finding it difficult to make sense of all this? Not to worry, you can:

Finding it difficult to make sense of all this? Not to worry, you can:

Get free quotes & medical aid advice

  • Whatsapp
  • Phone
  • Contact us