FedHealth Medical Aid Comparison - 2010 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).
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IN HOSPITAL BENEFIT |
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200% NHRPL rate |
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No Overall Annual Limit |
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Co-payments apply for certain |
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procedures |
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*30 days Post Hospital Cover |
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*7 days Take Home Medicine |
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*Emergency Trauma at Out Patients |
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Annual Sub-limits per person: |
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Oncology & Organ |
R 162 750 |
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Transplant |
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Renal Dialysis |
R 195,300 |
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Psychiatric Treatment |
R 17,250 |
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Specialised Medication |
R 120,000 |
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Benefit |
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Internal Prosthesis: |
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See detailed benefits |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Annual limit: |
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Single |
R 1,207 |
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Family |
R 2,415 |
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ANNUAL DAY TO DAY BENEFIT (including savings) |
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100% NHRPL Rate |
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Limits per annum: |
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Member |
R 180 |
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Member +Spouse |
R 248 |
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Member +Spouse +Child 1 |
R 408 |
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Member +Spouse +Child 2 |
R 468 |
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Member +Spouse +Child 3 |
R 528 |
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Member +Child 1 |
R 240 |
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ANNUAL THRESHOLD BENEFIT |
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Member |
R 7,720 |
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Spouse/Adult dependant |
R 5,900 |
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Per Child (Max 3) |
R 2,050 |
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MONTHLY CONTRIBUTIONS |
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Member |
R 1,029 |
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Spouse/Adult dependant |
R 876 |
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Per Child |
R 360 |
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IN HOSPITAL BENEFIT |
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200% NHRPL rate |
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| |
No Overall Annual Limit |
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| |
Co-payments apply for certain |
|
| |
procedures |
|
| |
*30 days Post Hospital Cover |
|
| |
*7 days Take Home Medicine |
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| |
*Oral Contraceptives |
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*Emergency Trauma at Out Patients |
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Annual Sub-limits per person: |
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Oncology & Organ |
R 206,000 |
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Transplant |
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Renal Dialysis |
R 206,000 |
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Psychiatric Treatment |
R 17,250 |
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Specialised Medication |
R120, 000 |
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Benefit |
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Internal Prosthesis: |
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See detailed benefits |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Annual limit: |
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Single |
R 2,415 |
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Per Family |
R 4,828 |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% NHRPL Rate |
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Limits per annum: |
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Member |
R 2,160 |
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Member +Spouse |
R 3,780 |
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Member +Spouse +Child 1 |
R 4,000 |
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Member +Spouse +Child 2 |
R 4,220 |
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Member +Spouse +Child 3 |
R 4,440 |
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Member +Child 1 |
R 2,380 |
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ANNUAL THRESHOLD BENEFIT |
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Principal Member |
R 7,720 |
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Spouse/Adult dependant |
R 5,900 |
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Per Child (Max 3) |
R 2,050 |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 1,316 |
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Spouse/Adult dependant |
R 1,118 |
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Per Child |
R 395 |
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IN HOSPITAL BENEFIT |
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200% NHRPL rate |
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No Overall Annual Limit |
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| |
Co-payments apply for certain |
|
| |
procedures |
|
| |
*30 days Post Hospital Cover |
|
| |
*7 days Take Home Medicine |
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*Oral Contraceptives |
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*Emergency Trauma at Out Patients |
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Annual Sub-limits per person: |
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Oncology & Organ |
R 265,000 |
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Transplant |
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Renal Dialysis |
R 265,000 |
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Psychiatric Treatment |
R 17,250 |
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Specialised Medication |
R120, 000 |
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Benefit |
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Internal Prosthesis: |
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See detailed benefits |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Annual limit: |
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Single |
R 3,650 |
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Per Family |
R 7,300 |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% NHRPL Rate |
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Limits per annum: |
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Member |
R 4,858 |
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Member +Spouse |
R 8,602 |
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Member +Spouse +Child 1 |
R 9,442 |
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Member +Spouse +Child 2 |
R 10,282 |
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Member +Spouse +Child 3 |
R 11,122 |
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Member +Child 1 |
R 5,698 |
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ANNUAL THRESHOLD BENEFIT |
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Principal Member |
R 7,720 |
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Spouse/Adult dependant |
R 5,900 |
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Per Child (Max 3) |
R 2,050 |
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MONTHLY CONTRIBUTIONS |
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Principal Me mber |
R 1,632 |
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Spouse/Adult dependant |
R 1,388 |
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Per Child |
R 490 |
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IN HOSPITAL BENEFIT |
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300% NHRPL rate |
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| |
No Overall Annual Limit |
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| |
Co-payments apply for certain |
|
| |
procedures |
|
| |
*30 days Post Hospital Cover |
|
| |
*7 days Take Home Medicine |
|
| |
*Oral Contraceptives |
|
| |
*Emergency Trauma at Out Patients |
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Annual Sub-limits per person: |
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Oncology and Organ |
No Limit |
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Transplant |
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Renal Dialysis |
No Limit |
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Psychiatric Treatment |
R 17,250 |
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Specialised Medication |
R120,000 |
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Benefit |
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Internal Prosthesis: |
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See detailed benefits |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Annual limit: |
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Single |
R 9,775 |
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Per Family |
R 18,280 |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% NHRPL Rate |
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Limits per annum: |
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Member |
R 8,830 |
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Member +Spouse |
R 15,578 |
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Member +Spouse +Child 1 |
R 17,772 |
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Member +Spouse +Child 2 |
R 19,966 |
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Member +Spouse +Child 3 |
R 22,160 |
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Member +Child 1 |
R 11,024 |
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ANNUAL THRESHOLD BENEFIT |
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Principal Member |
R 8,900 |
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Spouse/Adult dependant |
R 6,750 |
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Per Child (Max 3) |
R 2,350 |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 3,188 |
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Spouse/Adult dependant |
R 2,710 |
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Per Child |
R 956 |
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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 021 712 6626. 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 21 712-6686 at any point in your decision making process for further information on the FedHealth Medical Aids.
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