Fedhealth: All the 2018 medical aid plans

Hospital Plans

Main Adult Child No. of children Savings? Other fund? Threshold? Hospital Choice
Maxima EntryZone R 1,424 R 1,080 R 482 Pay for maximum 3 children No No No Network
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments for certain procedures. Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Maxima Core R 2,082 R 1,806 R 732 Pay for maximum 3 children No No No Unlimited
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Co-payments for certain procedures. Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Maxima Core Grid R 1,638 R 1,596 R 646 Pay for maximum 3 children No No No Network
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments for certain procedures. Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Saver Plans

Main Adult Child No. of children Savings? Other fund? Threshold? Hospital Choice
Maxima EntrySaver R 1,759 R 1,298 R 585 Pay for maximum 3 children Yes No No Network
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments or PMB level of care for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), dentistry, some GP visits, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
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Maxima Saver R 2,259 R 1,867 R 657 Pay for maximum 3 children Yes No No Unlimited
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), dentistry, some GP visits, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
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Maxima Saver Grid R 2,003 R 1,673 R 534 Pay for maximum 3 children Yes No No Network
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), dentistry, some GP visits, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
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Maxima Basis R 2,722 R 2,374 R 826 Pay for maximum 3 children Yes No No Unlimited
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), some dentistry, optometry, some GP visits, maternity, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
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Maxima Basis Grid R 2,407 R 2,106 R 732 Pay for maximum 3 children Yes No No Network
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), some dentistry, optometry, some GP visits, maternity, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
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Maxima Advanced R 3,607 R 3,138 R 1,082 Pay for maximum 3 children Yes No No Unlimited
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), some dentistry, optometry, some GP visits, specialised radiology (with co-payment), contraceptives, some medicine, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
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Comprehensive Plans

Main Adult Child No. of children Savings? Other fund? Threshold? Hospital Choice
Maxima Standard R 3,310 R 2,890 R 998 Pay for maximum 3 children Yes No Unlimited Unlimited
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 2,527 R 2,210 R 763 Pay for maximum 3 children Yes No Unlimited Network
Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims. Network hospitals only.
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Maxima Exec R 4,805 R 4,103 R 1,463 Pay for maximum 3 children Yes Yes Unlimited Unlimited
Comprehensive plan with extended fund and threshold benefits (with 10% co-payment) that can be used for most out-of-hospital claims.
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Maxima Plus R 7,535 R 6,415 R 2,303 Pay for maximum 3 children Yes Yes Unlimited Unlimited
Comprehensive plan with extended fund and threshold benefits that can be used for most out-of-hospital claims.
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Ultimax R 10,306 R 8,761 R 3,150 Pay for maximum 3 children Yes No Unlimited Unlimited
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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Dynamic Saver: Income limited plan

100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. PMB only level of care for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.

Your Income: Main: Adult: Child: Hospital Choice:
R0-R8,560
R1,133 pm
(Savings: R2,100)
R1,041 pm
(Savings: R1,932)
R381 pm
(Savings: R708)
Network
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R8,561-R10,700
R1,423 pm
(Savings: R2,640)
R1,309 pm
(Savings: R2,436)
R479 pm
(Savings: R888)
Network
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R10,701-R16,050
R1,569 pm
(Savings: R2,916)
R1,441 pm
(Savings: R2,676)
R528 pm
(Savings: R984)
Network
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R16,051+
R1,714 pm
(Savings: R3,180)
R1,575 pm
(Savings: R2,928)
R576 pm
(Savings: R1,068)
Network
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Blue Door: Income limited plan

100% scheme rate for specialists. Network hospitals. Out-of-hospital, scheme pays for some: prescribed medication, GP consults, pathology, radiology, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.

Your Income: Main: Adult: Child: Hospital Choice:
R1-R5,564
R844 pm

R714 pm

R401 pm

Network
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R5,565-R9,095
R1,070 pm

R901 pm

R516 pm

Network
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R9,096-R11,235
R1,500 pm

R1,269 pm

R568 pm

Network
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R11,236-R12,840
R1,907 pm

R1,524 pm

R736 pm

Network
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R12,841+
R2,585 pm

R2,284 pm

R973 pm

Network
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