FedHealth Medical Aid Comparison - 2012 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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100% Scheme Rate |
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No overall annual limit |
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Network hospitals to be used |
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R4,500 co-payment on voluntary |
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non-network admissions |
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Co-payments are due for |
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certain procedures |
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(eg. R3,165 Anthroscopy) |
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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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Psychiatric Treatment & Ocology PMB |
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Hospital Care - R13,700 |
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Internal Prosthesis - PMB |
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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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Only from MED-Rite Pharmacies |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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Does not apply |
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ANNUAL THRESHOLD BENEFIT |
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Does not apply |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 819 |
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Spouse/Adult dependant |
R 612 |
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Per Child |
R 275 |
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IN HOSPITAL BENEFIT |
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100% Scheme 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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(e.g R1,700 Anthroscopy) |
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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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Oncology & Organ |
R 170,000 |
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Transplant |
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Psychiatric Treatment |
R 18,200 |
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Hospice care |
R 13,700 |
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Oncology (only at DSP) |
R180,000 |
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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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Only from MED-Rite Pharmacies |
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ANNUAL DAY TO DAY BENEFIT (including savings) |
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Does not apply |
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ANNUAL THRESHOLD BENEFIT |
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Does not apply |
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MONTHLY CONTRIBUTIONS |
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Member |
R 1,166 |
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Spouse/Adult dependant |
R 988 |
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Per Child |
R 408 |
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IN HOSPITAL BENEFIT |
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100% Scheme 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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(e.g R1,700 Anthroscopy) |
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*30 days Post Hospital Cover |
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*7 days Take Home Medicine |
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*Oral contraceptives |
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*Emergency Trauma at Out Patients |
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Psychiatric Treatment |
R 18,200 |
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Hospice care |
R 13,700 |
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Oncology (only at DSP) |
R230,000 |
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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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Only from MED-Rite Pharmacies |
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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 2,340 |
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Member +Spouse |
R 4,100 |
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Member +Spouse +Child 1 |
R 4,340 |
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Member +Spouse +Child 2 |
R 4,580 |
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Member +Spouse +Child 3 |
R 4,820 |
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Member +Child 1 |
R 2,580 |
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Unlimied GP Network |
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benefit |
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ANNUAL THRESHOLD BENEFIT |
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Principal Member |
R 9,290 |
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Spouse/Adult dependant |
R 7,070 |
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Per Child (Max 3) |
R 2,380 |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 1,547 |
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Spouse/Adult dependant |
R 1,317 |
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Per Child |
R 466 |
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IN HOSPITAL BENEFIT |
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200% Scheme 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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*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 280,000 ea |
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Transplant |
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Renal Dialysis |
R 280,000 |
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Psychiatric Treatment |
R 17,250 |
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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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Add. 14 Chronic Disease Conditions |
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Annual limit: |
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Single |
R 3,870 |
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Per Family |
R 7,740 |
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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 5,056 |
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Member +Spouse |
R 8,954 |
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Member +Spouse +Child 1 |
R 9,840 |
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Member +Spouse +Child 2 |
R 10,726 |
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Member +Spouse +Child 3 |
R 11,612 |
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Member +Child 1 |
R 5,924 |
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Unlimited GP Network |
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benefit |
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ANNUAL THRESHOLD BENEFIT |
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Principal Member |
R 8,800 |
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Spouse/Adult dependant |
R 6,700 |
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Per Child (Max 3) |
R 2,250 |
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MONTHLY CONTRIBUTIONS |
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Principal Me mber |
R 1,785 |
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Spouse/Adult dependant |
R 1,520 |
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Per Child |
R 535 |
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IN HOSPITAL BENEFIT |
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200% Scheme 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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*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 |
No Limit |
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Renal Dialysis & |
R 300,000 |
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Organ Transplant |
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Psychiatric Treatment |
R 22,000 |
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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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Add. 26 Chronic Disease Conditions |
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Annual limit: |
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Single |
R 4,900 |
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Per Family |
R 9,200 |
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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 6,320 |
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Member +Spouse |
R 11,416 |
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Member +Spouse +Child 1 |
R 12,606 |
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Member +Spouse +Child 2 |
R 13,796 |
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Member +Spouse +Child 3 |
R 14,986 |
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Member +Child 1 |
R 7,510 |
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Unlimited GP Network |
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benefit |
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ANNUAL THRESHOLD BENEFIT |
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Principal Member |
R 8,800 |
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Spouse/Adult dependant |
R 6,700 |
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Per Child (Max 3) |
R 2,250 |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 2,130 |
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Spouse/Adult dependant |
R 1,815 |
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Per Child |
R 635 |
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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 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.
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