Fedhealth - Maxima Standard Medical Aid Plan

Fedhealth - Maxima Standard

Provides unlimited private hospital cover, limited day-to-day benefits with an above threshold and chronic disease benefit, covering 39 conditions. Cover includes CT scans, emergency cover in a casualty ward and a 30 day post-hospitalization benefit. Members are allowed to motivate upgrades in life changing events.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Fedhealth Rate)
Non-Fedhealth specialists paid at 100% of the Fedhealth Rate.

Provider

Any hospital

GP's & Specialists

GP's and Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: R423 200
Organ Transplants: R423 200
Dialysis: R423 200
Internal Prosthesis: Procedure based
Mental Health: R23 900

Chronic

39 conditions
Limits:
R5 410 - Individual
R10 800 - Family

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS AND OHEB
Member: R7 152
Adult: R6 240
Child: R2 160

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R12 320
Adult: R9 460
Child: R3 168

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: R3 310
Adult: R2 890
Child: R998

 

 

 

 

 

 

 

 


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