Fedhealth: All the 2017 medical aid plans

Non-income limited plans

Main Adult Child No. of children Savings? Other fund? Threshold? Hospital Choice
Maxima EntryZone R R R
Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Maxima Core R R R
Out-of-hospital, scheme pays for some:post hospitalisation treatment (30 days), casualty visits, GP visit, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Maxima Core Grid R R R
Out-of-hospital, scheme pays for some:post hospitalisation treatment (30 days), casualty visits, GP visit, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Maxima EntrySaver R R R
Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
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Maxima Saver R R R
Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
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Maxima Saver Grid R R R
Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
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Maxima Basis R R R
Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry and maternity, optometry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
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Maxima Basis Grid R R R
Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry and maternity, optometry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
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Maxima Standard R R R
Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims.
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Maxima Standard Elect R R R
Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims.
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Maxima Advanced R R R
Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, specialised radiology, contraceptives, some medication, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
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Maxima Exec R R R
Comprehensive plan with extended fund and threshold benefits that can be used for most out-of-hospital plans.
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Maxima Plus R R R
Comprehensive plan with extended fund and threshold benefits that can be used for most out-of-hospital plans.
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Ultimax R R R
Comprehensive plan with extended fund and threshold benefits that can be used for most out-of-hospital plans.
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Blue Door: Income limited plan

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children

Your Income: Main: Adult: Child: Hospital Choice:
R0-R5,200
R pm

R pm

R pm

Network
Extended Hospital plan
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R5,201-R8,500
R pm

R pm

R pm

Network
Extended Hospital plan
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R8,501-R10,500
R pm

R pm

R pm

Network
Extended Hospital plan
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R10,501-R12,000
R pm

R pm

R pm

Network
Extended Hospital plan
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R12,001+
R pm

R pm

R pm

Network
Extended Hospital plan
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