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; R11 500 copayment on voluntary use of non-network hospital

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 GPs, subject to protocols after sixth visit
Two out-of-network consultations per year for GPs per person
Two specialist visits via referral only

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 - R5953
Member: R916
Adult: R784
Per Child: R440

 

Income Based R5954-R9732
Member: R1161
Adult: R989
Per Child: R567

 

Income Based R9733-R12021

Member: R1627

Adult: R1393

Per Child: R624

 

Income Based R12022-R13739

Member: R2068

Adult: R1672

Per Child: R808

 

Income Based R13740+

Member: R2804

Adult: R2506

Per Child: R1068

 

 

 

 


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