FedHealth Medical Aid Comparison - 2014 Plans

Fedhealth is a well-established medical aid registered in 1969, it covers close to 200,000 lives and has one of the highest Global Credit Ratings at AA-. They have a range of new generation schemes all covering hospital and related bills at 3 x NHRPL (National Health Reference Price List) rate (Private Rate).

 
Fedhealth
Plans:
Maxima Core Maxima Basis Maxima Standard
Maxima Exec    
 
FEDHEALTH
MAXIMA CORE
  IN HOSPITAL BENEFIT  
  100% Scheme  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures  
  (e.g R1,900 Anthroscopy)  
  *30 days Post Hospital Cover  
  *7 days Take Home Medicine  
  Oral Contraceptives  
  *Emergency Trauma at Out Patients  
       
  Psychiatric Treatment R 20,300  
  Hospice care R 25,000  
  Oncology (only at DSP) R201,000  
  Internal Prosthesis:    
  See detailed benefits    
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  27 PMB Chronic Disease Conditions  
  Only from MED-Rite Pharmacies  
       
       
               
               
               
  ANNUAL DAY TO DAY BENEFIT (including savings)  
  Does not apply   
     
     
     
     
     
     
     
     
     
     
     
     
     
     
       
  ANNUAL THRESHOLD BENEFIT  
                 Does not apply    
     
     
     
  MONTHLY CONTRIBUTIONS  
  Member R 1, 370  
  Spouse/Adult dependant R 1, 161  
  Per Child R 479  
     
FEDHEALTH
MAXIMA BASIS
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures  
  (e.g R1,900 Anthroscopy)  
  *30 days Post Hospital Cover  
  *7 days Take Home Medicine  
  *Oral contraceptives  
  *Emergency Trauma at Out Patients  
  Psychiatric Treatment R 20,300  
  Hospice care R 25,000   
  Oncology (only at DSP) R257,000  
  Internal Prosthesis:     
  See detailed benefits    
       
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  27 PMB Chronic Disease Conditions  
  Only from MED-Rite Pharmacies  
               
               
               
               
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
 
100% Scheme Rate
 
  Limits  per annum:  
  Member R 2,750  
  Member +Spouse R 4,810  
  Member +Spouse +Child 1 R 5,090  
  Member +Spouse +Child 2 R 5,370  
  Member +Spouse +Child 3 R 5,650  
  Member +Child 1 R 3,130  
       
  Unlimied GP Network    
   benefit    
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Principal Member R 8,990  
  Spouse/Adult dependant R 6,870  
  Per Child (Max 3) R 2,320  
     
  MONTHLY CONTRIBUTIONS  
  Principal Member R 1,799  
  Spouse/Adult dependant R 1,532  
  Per Child R 534  
     
FEDHEALTH
MAXIMA STANDARD
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures(eg: R1,900 Arthroscopy)  
  *30 days Post Hospital Cover  
  *7 days Take Home Medicine  
  Oral Contraceptives  
  *Emergency Trauma at Out Patients  
  Annual Sub-limits per person:  
  Psychiatric Treatment R 20,300  
  Hospice Care R 25,000  
  Oncology(Only at DSP) R 448,000  
  Internal Prosthesis:    
  See detailed benefits    
       
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  27 PMB Chronic Disease Conditions  
  Add 14 Chronic Disease Conditions  
     
  Annual limit:  
  Single R 4,590  
  Per Family R 9,130  
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
 
100% Scheme Rate
 
  Limits  per annum:  
  Member R 5,952  
  Member+ Spouse R 10,538  
  Member+ Spouse + Child 1 R 11,579  
  Member+ Spouse + Child 2 R 12,620  
  Member+ Spouse + Child 3 R 13,661  
  Member + Child 1 R 6,993  
       
  Unlimited Network GP    
    benefit    
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Principal Member R 8,990  
  Spouse/Adult dependant R 6,870  
  Per Child (Max 3) R 2,320  
     
  MONTHLY CONTRIBUTIONS  
  Principal Member R 2,234  
  Spouse/Adult dependant R 1,903  
  Per Child R 669  
     
.
 FEDHEALTH
MAXIMA EXEC
  IN HOSPITAL BENEFIT  
  200% Scheme Rate  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures(eg: R1,900 Arthroscopy)  
  *30 days Post Hospital Cover  
  *7 days Take Home Medicine  
  *Oral Contraceptives  
  *Emergency Trauma at Out Patients  
  Annual Sub-limits per person:  
  Psychiatric Treatment R 25,900
  Hospice Care R 25,000
  Oncology Unlimited
  Specialised Medication R140,185
  Benefit  
  Internal Prosthesis:  
  See detailed benefits  
     
     
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  27 PMB Chronic Disease Conditions  
  Additional 26 Chronic Disease  
  Conditions  
  Annual limit:  
  Single R 5,760  
  Per Family R 10,700  
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
 
100% Scheme Rate
 
  Limits per annum:  
  Member R 7,446  
  Member + Spouse R 13,448  
  Member + Spouse + Child 1 R 14,855  
  Member + Spouse + Child 2 R 16,262  
  Member + Spouse + Child 3 R 17,669  
  Member + Child 1 R 8,853  
       
  Unlimited Network GP benefit    
       
       
       
       
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Principal Member R 8,990  
  Spouse/Adult dependant R 6,870  
  Per Child (Max 3) R 2,320  
     
  MONTHLY CONTRIBUTIONS  
  Principal Member R 2,803  
  Spouse/Adult dependant R 2,388  
  Per Child R 836  
               
     
     
 
 
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
       
       
               
               
   
 
 
 
 
 
     
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
     
       
       
       
     
     
       
       
       
       
     
     
 
 
     
     
     
     
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
               
               
     
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
     
       
       
     
     
     
       
       
       
       
       
     

For more detailed information on any of the above FedHealth plans, just click on the name of the relevant plan in the tables above. If you already know what you want, why not make use of our site to download the relevant Medical Aid Application form and then fax it back to us on 0866 200 320. Alternatively, if you would like us to confirm some of the finer details and/or pricing, just fill in our Medical Aid Quote Request form and we will get back to you promptly.

Finally, we invite you to contact us on +27 21 712-8866 at any point in your decision making process for further information on the FedHealth Medical Aids.