maxima EXEC

One of our comprehensive options, maxima EXEC offers good all-round cover for more mature members, perhaps with kids almost leaving the nest. Apart from in-hospital, chronic medicine, screening and additional benefits, it also has a day-to-day savings portion, and a Threshold benefit

Kids leaving the nest? This is a comprehensive plan with good all-round cover for more mature members. Get in-hospital, chronic medicine, screening and additional benefits, plus a day-to-day savings portion and Threshold benefit.

From
R 6 816 per month

WHAT DOES IT COVER?

One of our comprehensive medical aid options, maxima EXEC offers good all-round cover for more mature members, perhaps with kids almost leaving the nest. Apart from in-hospital, chronic medicine, screening and additional benefits, it also has a day-to-day savings portion, as well as a Threshold benefit

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, there’s no overall annual limit for hospitalisation.
• You benefit from unlimited maternity cover.
• Network GPs and specialists are covered unlimited at cost.
• Non-network GPs are covered up to 100% of the Fedhealth Rate.
• Non-network specialists are covered up to 200% of the Fedhealth Rate.
• Other healthcare professionals are covered up to 100% of the Fedhealth Rate.
• The oncology benefit on this option is R600 600.

On this option, you enjoy cover for 56 chronic diseases subject to the comprehensive formulary. Under this benefit, you have R7 600 per beneficiary per year available – capped at R14 000 per family per year. Our preferred providers are MediRite, Clicks, Dis-Chem and Pharmacy Direct.

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.
• 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).

Fedhealth offers many extras to optimise your health even more, 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.
• Members with specific healthcare needs can sign up for our comprehensive managed care programmes
• Have an emergency? Europ Assistance provides emergency transport and response.

This relates to the funds you have available upfront for day-to-day medical expenses like GP or dentist visits. On maxima EXEC the funds available are: Member R10 560, Adult Dependant R9 168, Child Dependant (up to a maximum of 3 children) R3 348. 

• We cover unlimited Fedhealth Network GP visits once your Savings is depleted.
• You enjoy unlimited specialised radiology from the core benefit bundle if you get pre-authorisation from us. The first R2 380 for non-PMB/CT scans will be for your account.
• We will cover your follow-up treatment for 30 days once you get discharged from hospital, like physio, x-rays and pathology

Threshold Benefit Once your claims have accumulated to the correct Threshold level, there are certain benefits that this option will continue to cover. Principal member R14 800 Adult R11 400 Child (up to a maximum of 3 children) R3 800

WANT TO KNOW MORE?

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

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