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 R580 900
Organ Transplants: R580 900
Dialysis: R580 900
Internal Prosthesis: Procedure based

Chronic

PMB + Additional conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS & OHEB
Member: R9 288
Adult: R8 064
Child: R2 952

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R14 265
Adult: R10 954
Child: R3 669

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 992
Adult: R5 202
Per Child: R1 906

 

 

 

 

 

 

 

 


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