flexiFED 1

A great entry-level hospital plan option for the young and healthy! The MediVault and Wallet help you cover unexpected day-to-day medical expenses, while the Benefit Maximiser kicks in once your claims have reached the correct level

From
R 1 341 per month

WHAT DOES IT COVER?

If you’re a young person just starting out, flexiFED1 allows you to enjoy good medical aid cover at an affordable price. This hospital plan offers access to a MediVault and Wallet to help you cover unexpected day-to-day medical expenses, and valuable Benefit Maximiser benefits that kick in once your claims have reached the correct level. A great entry-level option if you’re young and healthy!

This refers to the procedures and treatments that take place in hospital which you’re covered for, under this option.

  • For your peace of mind, you enjoy unlimited network hospitalisation.
  • You benefit from unlimited maternity cover at cost with network GPs and specialists.
  • Network GPs and specialists are covered unlimited at cost.
  • Non-network GPs, specialists and other healthcare providers are covered up to 100% of the Fedhealth Rate.

While this is a hospital plan, you’re still covered for 26 chronic diseases as listed on the Chronic Disease List (CDL).

This means unlimited cover for diseases on the CDL at a provider of your choice. Basic formulary and the Medicine Price List (MPL) apply.

This benefit includes the tests and healthcare assessments that ensure that your health is on the right track.

  • We cover one Pap smear (cervical cancer screening) every three years for women aged 21 to 65.
  • We cover one Prostate Specific Antigen (PSA) per year for men aged 45 to 69.
  • Children’s immunisations are covered from birth to 12 years (as per the State EPI).
  • We cover one cholesterol screening (full lipogram) every five years for everyone over the age of 20.
  • Everyone in the family enjoys a free flu vaccination once a year!
  • We cover one HIV finger prick test for all members once a year.
  • All members enjoy one wellness screening per year that includes BMI, blood pressure, finger prick cholesterol and glucose tests.
  • All members enjoy one preventative screening by a contracted wellness network provider per year that includes (waist-to-hip ratio, body fat %, flexibility, posture and fitness).

 

We want to optimise your health even more, which is why we offer extras to this hospital plan such as professional medical advice and a transport service when you need post-hospitalisation check-ups.

  • With us, you can upgrade to a higher option within 30 days of a life-changing event, like a pregnancy or the diagnosis of a dread disease.
  • Phone our 24-hour toll-free Nurse Line for expert medical and health advice from qualified nurses.
  • Our MediTaxi service transports you to follow-up medical treatments following a hospital stay (only certain regions).
  • Use our USSD call-back service, SOS Call Me, to access Emergency Medical Services, the Fedhealth Nurse Line or MediTaxi – free of charge to you!
  • Call our 24-hour Emotional Wellbeing Programme support line to get you through life’s ups and downs.
  • Qualifying members can join our 12-week Weight Management Programme led by biokineticists and dieticians to make healthy lifestyle changes.
  • We cover the GoSmokeFree Smoking Cessation Programme to help members quit their smoking habit for good!

You pay back your MediVault over 12 months, interest-free.

 

  • All pregnant members and dependants can join the Fedhealth Baby Programme.
  • We cover four consultations with a midwife in- and out-of-hospital under our postnatal midwifery benefit.
  • We cover a doula up to R1 300 per delivery.
  • We cover one test with an audiologist per infant up to the Fedhealth Rate.
  • You have access to the Paed-IQ advice line for all your paediatric questions.
  • We cover take-home medicine for seven days per hospital event at 100% of the Medicine Price List.
  • We will cover your follow-up treatment for 30 days once you get discharged from hospital, like physio, x-rays and pathology.
  • You benefit from trauma treatment at a casualty ward – whether you’re admitted to the hospital or not. A R570 co-payment will apply per visit for non-PMBs (if you’re not admitted to hospital straight from casualty).
  • You enjoy unlimited specialised radiology from the core benefit bundle if you get pre-authorisation from us. The first R3 000 for non-PMB MRI/CT scans will be for your account.
  • Female contraception: We cover oral, patches, contraceptive rings, certain injectables and IUDs that include Mirena (prescribed by a GP or gynae, and not prescribed for acne).

 

Benefit Maximiser:

Once you’ve reached the Benefit Maximiser Threshold Level you’ll enjoy:

  • Unlimited GP visits at nominated network GPs!
  • A preventative dentistry benefit at a contracted dentist including x-rays, scaling and polishing.

WANT TO KNOW MORE?

For more information relating to this option, download the relevant document below.

SAVE ON HOSPITAL COVER

At Fedhealth we are all about control, flexibility and choice. Our flexiFED options are made one member at a time, and you can customise your Hospital/Risk cover to fit your budget and your needs perfectly.

Any Hospital

Full cover at all private hospitals

R 1 721

per month

The Any Hospital flexiFED variant offers no additional discounts. flexiFED 1 is a network hospital option, while flexiFED 2, 3, and 4 covers planned procedures at any private hospital.

Save

25%

Elect

Full cover at any private hospital with a co-payment for elective surgery

R 1 341

per month

In exchange, you will be charged a fixed excess of R12 500 on all hospital admissions except for emergencies. This excess however only applies to the hospital bill; you could still have co-payments on out-of-net- work specialists, a procedure co-payment or shortfalls because benefit limits have been exceeded.

CHOOSE YOUR REPAYMENT STRUCTURE

Some people are happy to do a little extra admin if it saves them money. For other, convenience and simplicity is king. Whichever means more to you, you can choose how you want to structure your MediVault repayments,

Save up to

25%

Flexible

Pay for your day-to-day benefits when you need to use them.

  • You don't pay for day-to-day benefits until you use them. This cound save you thousands every month.

  • You pay less without compromising on the quality of your benefits.

  • You are in full control over how much you pay for your medical aid.

Fixed

Let us manage your day-to-day funds automatically.

  • Simplicity - you choose once and your monthly repayment will never vary.

  • One debit order every month.

  • No admin, we'll manage your day-to-day funds automatically.

SET YOUR MEDIVAULT ACCESS

ADULT DEPENDANT
CHILD DEPENDANT
HOSPITAL COVER

MediVault annual cover

PM
Total monthly contribution

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