Fedhealth - Maxima Plus Medical Aid Plan

Fedhealth - Maxima Plus

Fedhealth Maxima Plus offers unlimited hospital cover, unlimited major medical benefits, day-to-day cover and family chronic disease benefits.

In Hospital Benefits

Overall Annual Limit

Unlimited at cost
Non Fedhealth Specialists paid at 200% of the Fedhealth Rate
300% for other Healthcare professionals

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: Treatment plan - Unlimited
Organ Transplants: Unlimited
Dialysis: Unlimited
Internal Prosthesis: Procedure based, sub-limits apply

Chronic

Additional conditions
Limits apply:
R15 000 - Individual
R28 100 - Family

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS & OHEB (out of hospital expense benefit):
Member: R14 243
Adult: R11 047
Child: R3 662

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R15 818
Adult: R12 166
Child: R4 219

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: R8 354
Adult: R7 204
Per Child: R2 610

 

 

 

 

 

 

 

 


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