Fedhealth - Maxima Standard Elect Network Medical Aid Plan

Fedhealth - Maxima Standard Elect Network

Fedhealth's Maxima Standard Elect plan offers cover at 100% of medical aid rates at a network of private hospitals, along with out of hospital benefits.

In Hospital Benefits

Overall Annual Limit

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

Provider

Network Hospitals

GP's & Specialists

GPs & specialists: Unlimited
Radiology & pathology: Unlimited
Oncology: R423 200
Organ transplants: R423 200
Dialysis R423 200
Internal prostheses: 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: R5 460
Adult: R4 776
Child: R1 644

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: R2 527
Adult: R2 210
Child: R763

 

 

 

 

 

 

 

 


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