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flexiFED Savvy


flexiFED 1


flexiFED 2


flexiFED 3


flexiFED 4


maxima EXEC


maxima PLUS


myFED


In-hospital benefit

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R7 800 co-payment applies on voluntary use of non-network hospital. A R2 200 co-payment applies on voluntary use of non-network day surgery facilities.

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R8 400 co-payment applies on voluntary use of non-network hospital. A R2 500 co-payment applies on voluntary use of non-network day surgery facilities.

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice.

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice.

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice.

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice.

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice.

Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R14 700 co-payment applies on voluntary use of non-network hospitals

Chronic disease benefit

You get cover for conditions on the Chronic Disease List (CDL) at a Preferred Provider. Subject to basic formulary and MPL

You get cover for conditions on the Chronic Disease List (CDL) at a Pharmacy of your choice. Subject to basic formulary and MPL

You get cover for conditions on the Chronic Disease List (CDL) at a provider of your choice. Subject to the intermediate formulary and MPL.

You get cover for conditions on the Chronic Disease List (CDL) and cover for 7 additional conditions:

  • ADHD (for children from age 6 to 18)
  • Allergic Rhinitis (for children up to the age of 18)
  • Eczema (for children up to the age of 18)
  • Acne (up to the age of 21)
  • Depression
  • Generalised Anxiety Disorder
  • Post-traumatic Stress Disorder

Medicine can be obtained at a provider of choice. Subject to intermediate formulary and MPL

You get cover for conditions on the Chronic Disease List (CDL) and cover for 18 additional conditions. Medicine can be obtained at a provider of choice. Subject to intermediate formulary and MPL. Take a look at the conditions covered on this option

  

 

You get cover for conditions on the Chronic Disease List (CDL) and cover for 30 additional conditions. Medicine can be obtained at a provider of choice. Subject to comprehensive formulary and MPL. Take a look at the conditions covered on this option

  

You get cover for conditions on the Chronic Disease List (CDL) and cover for 43 additional conditions. Medicine can be obtained at a provider of choice. Subject to comprehensive formulary and MPL. Take a look at the conditions covered on this option

  

You get cover for conditions on the Chronic Disease List (CDL) at a Pharmacy of your choice. Subject to basic formulary and MPL

Screening benefits

Cover for women's, men's, children's, cardiac, and general health risk assessments and screenings.

Cover for women's, men's, children's, cardiac, and general health risk assessments and screenings.

Cover for women's, men's, children's, cardiac, and general health risk assessments and screenings.

Cover for women's, men's, children's, cardiac and general health risk assessments and screenings.

Cover for women's, men's, children's, cardiac and general health risk assessments and screenings.

Cover for women's, men's, children's, cardiac, and general health risk assessments and screenings for older members.

Cover for women's, men's, children's, cardiac and general health risk assessments and screenings for older members.

Cover for flu vaccinations, HIV finger prick test and wellness screenings.

Maternity benefits

Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered from Fedhealth Savings

Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered from Fedhealth Savings

Cover for in-hospital maternity expenses and the following out-of-hospital benefits :

  • 2 x 2D scans;
  • Antenatal classes up to R1 160;
  • 8 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist;
  • Amniocentesis
  • Access to the Fedhealth baby programme
  • The doula benefit

Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :

2 x 2D scans;
Antenatal classes up to R1 160;
12 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist,
Amniocentesis
Access to the Fedhealth baby programme
The doula benefit

Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :

2 x 2D scans;
Antenatal classes up to R1 160;
12 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist,
Amniocentesis
Access to the Fedhealth baby programme
The doula benefit

Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :

2 x 2D scans;
Antenatal classes up to R1 160;
12 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist,
Amniocentesis
Access to the Fedhealth baby programme
The doula benefit

Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :

2 x 2D scans;
Antenatal classes up to R1 160;
12 antenatal and/ or postnatal consults with a midwife, Network GP or network gynaecologist,
Amniocentesis
Access to the Fedhealth baby programme
The doula benefit

Unlimited cover for natural births and emergency Caesarean sections.

Additional benefits

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

• 7 days of take home medicine
• Treatment for up to 30 days after hospitalisation
• Specialised Radiology
• Trauma treatment at casualty ward
• Female contraceptives

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

• 7 days of take home medicine
• Treatment for up to 30 days after hospitalisation
• Specialised Radiology
• Trauma treatment at casualty ward
• Female contraceptives

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

• 7 days of take home medicine
• Treatment for up to 30 days after hospitalisation
• Specialised Radiology
• Trauma treatment at casualty ward
• Female contraceptives

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

  • 7 days of take home medicine 
  • Treatment for up to 30 days after hospitalisation
  • Specialised Radiology
  • Trauma treatment at casualty ward
  • Female contraceptives

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

  • 7 days of take home medicine
  • Treatment for up to 30 days after hospitalisation
  • Specialised Radiology
  • Trauma treatment at casualty ward
  • Female contraceptives
  • Unlimited network GP visits from the first visit

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

  • 7 days of take home medicine
  • Treatment for up to 30 days after hospitalisation
  • Specialised Radiology
  • Trauma treatment at casualty ward
  • Female contraceptives
  • Unlimited network GP visits once annual savings has been depleted

Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer

  • 7 days of take home medicine
  • Treatment for up to 30 days after hospitalisation
  • Specialised Radiology
  • Trauma treatment at casualty ward
  • Female contraceptives
  • Unlimited network GP visits once annual savings and OHEB have been depleted

Fedhealth pays for the following day-to-day expenses from Risk:

• 7 days of take home medicine
• Trauma treatment at casualty ward
• Female contraceptives

Threshold benefit

In order to access your Threshold Benefit, you need to submit all day-to-day claims to accumulate to the Threshold Level. Thereafter, certain claims will be paid from the Threshold Benefit. These include preventative dentistry and unlimited nominated network GP visits.

In order to access your Threshold Benefit, you need to submit all day-to-day claims to accumulate to the Threshold Level. Thereafter, certain claims will be paid from the Threshold Benefit. These include preventative dentistry and unlimited nominated network GP visits.

In order to access your Threshold Benefit, you need to submit all day-to-day claims to accumulate to the Threshold Level. Thereafter, certain claims will be paid from the Threshold Benefit. These include: basic dentistry and unlimited nominated network GP visits.

In order to access your Threshold Benefit, you need to submit all day-to-day claims to accumulate to the Threshold Level. Thereafter, certain claims will be paid from the Threshold Benefit. These include basic dentistry and unlimited nominated network GP visits.

The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Fedhealth Savings or self-funded through the year at the Fedhealth Rate. 

The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Savings or self-funded through the year at the Fedhealth Rate. 

The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Savings and OHEB or self-funded through the year at the Fedhealth Rate. 

Pay less on your monthly contributions

Save on your contribution by choosing a restricted hospital network or just pay an R13 800 excess for planned procedures at a hospital of your choice.

Save on your contribution by choosing a restricted hospital network or just pay an R14 700 excess for planned procedures at a hospital of your choice.

Save 10% on your contribution by committing to use Fedhealth's network of more than 120 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R14 700 excess for planned procedures at a hospital of your choice.

Save 10% on your contribution by committing to use Fedhealth's network of more than 120 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R14 700 excess for planned procedures at a hospital of your choice.

Save 10% on your contribution by committing to use Fedhealth's network of more than 120 world-class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R14 700 excess for planned procedures at a hospital of your choice.

Day-to-day benefits

Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest-free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition.

flexiFED 1 (Supercharged FLEXIBLE Savings Plan)

Member R9 696
Member + 1 dependant R13 392
Member + 2 dependants R14 592
Member + 3 or more dependants R15 900

 

flexiFED 1 (Supercharged Savings Plan)

Member R3 744
Member + 1 dependant R5 616
Member + 2 dependants R6 852
Member + 3 or more dependants R8 724

Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest-free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition.

flexiFED 1 (FLEXIBLE Savings Plan)

Member R6 540
Member + 1 dependant R11 664
Member + 2 dependants R16 188
Member + 3 or more dependants R18 576

 

flexiFED 1 (Savings Plan)

Member R3 744
Member + 1 dependant R5 616
Member + 2 dependants R6 852
Member + 3 or more dependants R8 724

Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition.

flexiFED 2 (FLEXIBLE Savings Plan)

Member R9 828
Member + 1 dependant R18 588
Member + 2 dependants R23 100
Member + 3 or more dependants R26 004

 

flexiFED 2 (Savings Plan)

Member R4 980
Member + 1 dependant R7 488
Member + 2 dependants R11 832
Member + 3 or more dependants R15 576

Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest-free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition.

flexiFED 3 (FLEXIBLE Savings Plan)

Member R11 220 
Member + 1 dependant R21 492
Member + 2 dependants R26 004
Member + 3 or more dependants R29 988

 

flexiFED 3 (Savings Plan)

Member R7 488
Member + 1 dependant R9 960
Member + 2 dependants R13 104
Member + 3 or more dependants R15 576

Only Fedhealth gives you three ways to structure day-to-day benefits. You can either choose to have no funds for day-to-day expenses and self-fund it where needed, or access your Fedhealth Savings powered by the MediVault. You can use your Fedhealth Savings as part of a supercharged savings plan where you pay it back in equal portions from January each year, OR as part of a supercharged flexible savings plan where you only use a portion and just pay for the portion – interest free over 12 months. The amount of Fedhealth Savings available depends on your chosen flexiFED 1, 2, 3 or 4 option and family composition.

flexiFED 4 (FLEXIBLE Savings Plan)

Member R15 012
Member + 1 dependant R28 716
Member + 2 dependants R33 240
Member + 3 or more dependants R37 752

 

flexiFED 4 (Savings Plan)

Member R12 468
Member + 1 dependant R21 828
Member + 2 dependants R24 900
Member + 3 or more dependants R28 680

The amount available for day-to-day expenses

Annual Savings

Member R11 556
Adult Dependant R10 032 
Child Dependant R3 564

 

Amount available for day-to-day expenses

Annual Savings and OHEB

Member R16 922 
Adult Dependant R13 211 
Child Dependant (up to a maximum of 3 children) R4 367

Please see plan details for day-to-day benefits paid by the Scheme

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