FedHealth Medical Aid Comparison - 2019 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:
Myfed
(replaces EntryZone)
FlexiFed 2 ANY
(replaces Maxima Saver)
Flexifed 3 ANY
(replaces Maxima Core)
FlexiFed 3 ANY
(replaces Maxima Basis)
FlexiFed 4 ANY
(replaces Maxima Standard)
Maxima Exec
 
FEDHEALTH
MYFED (replaced FedHealth Entryzone)
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No overall annual limit  
  Network hospitals to be used  
  R11,500 co-payment on voluntary  
  non-network admissions  
     
     
   *Oral Contraceptives  
  *7 days Take Home Medicine  
  *Emergency Trauma at Out Patients  
  Psychiatric Treatment - R8,800  
  Hospice Care - n/a  
  Internal Prosthesis - PMB  
  Oncology (only at DSP) -PMB  
               
               
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  27 PMB Chronic Disease Conditions  
  Only from MED-Rite,Clicks, Dischem &  
          Pharmacy Direct    
               
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
 
 100% Scheme Rate
 
     
   GP's: No Limit from Network  
    Providers (2 out-of Network visits  
     
   Specialists: 2 Visits limited to R1 750  
     per person from Network Providers  
     (must be referred by Network GP)  
     
   Conservative Dentistry:  
    Only from a Network Provider  
    (Fillings, extractions, consultations)  
     Plastic dentures limited to 1 set per  
     person every 2 years.    
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
   Does not Apply    
     
     
     
     
  MONTHLY CONTRIBUTIONS  
  Income p/m   R1 - R5,953    
  Principal Member R 916  
  Spouse/Adult dependant R 784  
  Per Child (Max 3) R 440  
       
  Income pm  R5954 - R9732
   
  Principal Member R1,161  
  Spouse/Adult dependant R 989  
  Per Child (Max 3) R 567  
       
  Income pm  R9733-R12021
   
  Principal Member R1627  
  Spouse/Adult dependant R1393  
  Per Child (Max 3) R624  
       
  Income pm R12022-13739
   
  Principal Member R2,068  
  Spouse/Adult dependant R1,672  
  Per Child (Max 3) R808  
       
  Income pm R13740 +
   
  Principal Member R2,804  
  Spouse/Adult dependant R2,506  
  Per Child (Max 3) R1,068  
       
FEDHEALTH
FLEXIFED 2 ANY (replaced FedHealth Maxima Saver)
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures  
  (e.g R7,800 Anthroscopy )  
  *30 days Post Hospital Cover  
  *7 days Take Home Medicine  
  Oral Contraceptives  
  *Emergency Trauma at Out Patients  
       
  Psychiatric Treatment R 23,700  
  Hospice care R 31,000  
  Oncology (only at DSP) R 277,900  
  Internal Prosthesis: PMB  
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  27 PMB Chronic Disease Conditions  
  Only from MED-Rite,Clicks, Dischem &  
           Pharmacy Direct    
       
               
  ANNUAL DAY TO DAY BENEFIT (including savings)  
   100% Scheme Rate  
     
   Member              R300  
   Spouse               R252  
   Per Child            R84  
     
  MediVault Savings amounts are not   
   pro-rated and can be transferred  
  back to your wallet at any time and  
  paid back interest free over a period  
  of 12 months  
     
  Member             R4,200  
  Member + 1       R7,800  
  Member + 2       R9,000  
  Member + 2 +    R10,800  
       
       
  ANNUAL THRESHOLD BENEFIT  
  Member             R4,200  
  Member + 1       R7,800  
  Member + 2       R9,000  
  Member + 2 +    R10,800  
     
  MONTHLY CONTRIBUTIONS  
  Member R 2,086  
  Spouse/Adult dependant R 1,768  
  Per Child (Max 3) R 615  
     
     
     
     
     
     
     
     
     
     
     
     
     
     
      
     
     
     
     
     
     
     
FEDHEALTH
FLEXIFED 3 ANY (replaced FedHealth Maxima Core)
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures  
  (e.g R7,800 Anthroscopy )  
  *30 days Post Hospital Cover  
  *7 days Take Home Medicine  
  Oral Contraceptives  
  *Emergency Trauma at Out Patients  
       
  Psychiatric Treatment R 25,100  
  Hospice care R 31,000  
  Oncology (only at DSP) R 277,900  
  Internal Prosthesis: R 25,000  
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  30 PMB Chronic Disease Conditions  
  Only from MED-Rite,Clicks, Dischem &  
           Pharmacy Direct    
       
               
  ANNUAL DAY TO DAY BENEFIT (including savings)  
   100% Scheme Rate  
     
   Member              R300  
   Spouse               R364  
   Per Child            R108  
     
  MediVault Savings amounts are not   
   pro-rated and can be transferred  
  back to your wallet at any time and  
  paid back interest free over a period  
  of 12 months  
     
  Member             R5,100  
  Member + 1       R9,600  
  Member + 2       R11,100  
  Member + 2 +    R13,200  
       
       
  ANNUAL THRESHOLD BENEFIT  
  Member             R5,100  
  Member + 1       R9,600  
  Member + 2       R11,100  
  Member + 2 +    R13,200  
     
  MONTHLY CONTRIBUTIONS  
  Member R 2,294  
  Spouse/Adult dependant R 2,018  
  Per Child (Max 3) R 818  
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
.
FEDHEALTH
FLEXIFED 3 ANY (replaced FedHealth Maxima Basis)
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures  
  (e.g R7,800 Anthroscopy )  
  *30 days Post Hospital Cover  
  *7 days Take Home Medicine  
  Oral Contraceptives  
  *Emergency Trauma at Out Patients  
       
  Psychiatric Treatment R 25,100  
  Hospice care R 31,000  
  Oncology (only at DSP) R 277,900  
  Internal Prosthesis: R 25,000  
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  30 PMB Chronic Disease Conditions  
  Only from MED-Rite,Clicks, Dischem &  
           Pharmacy Direct    
       
       
       
               
  ANNUAL DAY TO DAY BENEFIT (including savings)  
   100% Scheme Rate  
     
   Member              R300  
   Spouse               R364  
   Per Child            R108  
     
  MediVault Savings amounts are not   
   pro-rated and can be transferred  
  back to your wallet at any time and  
  paid back interest free over a period  
  of 12 months  
     
  Member             R5,100  
  Member + 1       R9,600  
  Member + 2       R11,100  
  Member + 2 +    R13,200  
       
  ANNUAL THRESHOLD BENEFIT  
  Member             R5,100  
  Member + 1       R9,600  
  Member + 2       R11,100  
  Member + 2 +    R13,200  
     
  MONTHLY CONTRIBUTIONS  
  Member R 2,294  
  Spouse/Adult dependant R 2,018  
  Per Child (Max 3) R 818  
     
 FEDHEALTH
FLEXIFED 4 ANY (replaced FedHealth Maxima Standard)
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures  
  (e.g R2,400 Anthroscopy )  
  *30 days Post Hospital Cover  
  *7 days Take Home Medicine  
  Oral Contraceptives  
  *Emergency Trauma at Out Patients  
       
  Psychiatric Treatment R 25,100  
  Hospice care R 31,000  
  Oncology (only at DSP) R 444,700  
  Internal Prosthesis: R 25,000  
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  43 PMB Chronic Disease Conditions  
  Only from MED-Rite,Clicks, Dischem &  
           Pharmacy Direct    
       
       
       
               
  ANNUAL DAY TO DAY BENEFIT (including savings)  
   100% Scheme Rate  
     
   Member              R300  
   Spouse               R264  
   Per Child            R96  
     
  MediVault Savings amounts are not   
   pro-rated and can be transferred  
  back to your wallet at any time and  
  paid back interest free over a period  
  of 12 months  
     
  Member             R7,600  
  Member + 1       R14,100  
  Member + 2       R16,200  
  Member + 2 +    R19,500  
       
  ANNUAL THRESHOLD BENEFIT  
  Member             R13,650  
  Member + 1       R24,150  
  Member + 2       R27,660  
  Member + 2 +    R31,500  
     
  MONTHLY CONTRIBUTIONS  
  Member R 2,294  
  Spouse/Adult dependant R 2,018  
  Per Child (Max 3) R 818  
     
 FEDHEALTH
MAXIMA EXEC
     
  IN HOSPITAL BENEFIT  
  200% Scheme Rate  
  No Overall Annual Limit  
  Co-payments are due for certain  
  procedures(eg: R2,400 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 32,000
  Hospice Care R 31,000
  Oncology R555,900
  Specialised Medication R173,400
  Benefit  
     
     
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  51 PMB Chronic Disease Conditions  
  Only from MED-Rite,Clicks, Dischem &  
           Pharmacy Direct  
  Add. Disease List Annual limit:  
  Single R 7,100  
  Per Family R 13,100  
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
 
100% Scheme Rate
 
  Limits per annum:  
  Member R8,040  
  Member + Spouse R15,000  
  Member + Spouse + Child 1 R17,508  
  Member + Spouse + Child 2 R20,016  
  Member + Spouse + Child 3 R22,524  
  Member + Child 1 R10,548  
  Member + Child 2 R13,056  
  Member + Child 3 R15,564  
       
   Unlimited Network GP benefit    
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Member R 13,651  
  Mem+Spouse/Adtdependant R 10,482  
  Per Child (Max 3) R 3,511  
     
     
  MONTHLY CONTRIBUTIONS  
  Principal Member R 5,336  
  Spouse/Adult dependant R 4,625  
  Per Child (Max  3) R 1,666  
     

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.