Fedhealth - MyFed Medical Aid Plan

Fedhealth - MyFed

Affordable, entry-level medical aid that includes benefits such as a free flu vaccine per year, unlimited visits at a contracted GP and a free baby programme.

In Hospital Benefits

Overall Annual Limit

Unlimited at network up to 100% of the Fedhealth rate

Provider

Unlimited at network hospitals only. R 14700 co-payment on voluntary use of non-network hospitals.

GP's & Specialists

GPs and specialists: Unlimited
Radiology and pathology: Unlimited
Oncology: PMBs
Organ transplants: PMBs
Dialysis: PMBs
Internal prosthesis: PMBs

Chronic

26 conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

Network option: Unlimited GP visits at Network GP's- subject to protocols after 10th visit, 2 Specialist visits via referral only, 2 out of Network consultations per year for GP's per person

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

No

Above Threshold Limits

Not applicable

Maternity Care

Basic maternity benefit

Contributions

Contributions

INCOME BASED R1 - R6 251

Member: R1 590

Adult: R1590

Per Child: R677

 

INCOME BASED R6 252 - R8 550

Member: R1 622

Adult: R1622

Per Child: R750

 

INCOME BASED R8 551 - R10 219

Member: R1 935

Adult: R1 681

Per Child: R946

 

INCOME BASED R10 220-R12 622

Member: R2713

Adult: R2 368

Per Child: R1041

 

INCOME BASED R12 623-R14 426

Member: R3448

Adult: R2842

Per Child: R1 347

 

INCOME BASED R14 427+

Member: R4 676

Adult: R4260

Per Child: R1782

 

 

 


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:

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