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. R12 000 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 6th 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 128

Adult: R985

Per Child: R543

 

Income Based
R6 251 - R10 219
Member: R1 430
Adult: R1 242
Per Child: R699

 

Income Based

R10 220 - R12 622                                 

Member: R2 005                                                                 

Adult: R1 750                                                            

Per Child: R769

 

Income Based

R12 623 - R14 426                                 

Member: R2 547                                                                  

Adult: R2 100                                                           

Per Child: R996

 

Income Based

R14 427+                                 

Member: R3 455                                                                  

Adult: R3 147                                                             

Per Child: R1 317

 

 

 

 


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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