Fedhealth in-hospital benefits: 2017

Click here to compare in-hospital benefits across all schemes, or use the menu bar above for more options. Fedhealth home page.

Non-income limited plans

Income limited plans

Fedhealth Blue Door A: In-hospital Benefits
In brief: 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.
1. Payout Rate:
  • Covered in full for specialists and GPs in Fedhealth network
  • Otherwise, 100% scheme rate, limited to R2,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R776 R644 R369
Children: Pay for all children
Income limit: R0-R5,200 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:
2. Hospital Choice:
  • Network, or R10,000 co-payment
3. Specialised Radiology:
  • R12,100 per person and R24,400 per family
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • PMBs only, in state facilities
6. Co-payments:
7. Alternatives to hospitals:
  • PMBs only, excludes hospice

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Fedhealth Blue Door B: In-hospital Benefits
In brief: 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.
1. Payout Rate:
  • Covered in full for specialists and GPs in Fedhealth network
  • Otherwise, 100% scheme rate, limited to R2,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R984 R813 R475
Children: Pay for all children
Income limit: R5,201-R8,500 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:
2. Hospital Choice:
  • Network, or R10,000 co-payment
3. Specialised Radiology:
  • R12,100 per person and R24,400 per family
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • PMBs only, in state facilities
6. Co-payments:
7. Alternatives to hospitals:
  • PMBs only, excludes hospice

View this plan | Sign up for this plan

Fedhealth Blue Door C: In-hospital Benefits
In brief: 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.
1. Payout Rate:
  • Covered in full for specialists and GPs in Fedhealth network
  • Otherwise, 100% scheme rate, limited to R2,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,380 R1,145 R522
Children: Pay for all children
Income limit: R8,501-R10,500 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:
2. Hospital Choice:
  • Network, or R10,000 co-payment
3. Specialised Radiology:
  • R12,100 per person and R24,400 per family
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • PMBs only, in state facilities
6. Co-payments:
7. Alternatives to hospitals:
  • PMBs only, excludes hospice

View this plan | Sign up for this plan

Fedhealth Blue Door D: In-hospital Benefits
In brief: 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.
1. Payout Rate:
  • Covered in full for specialists and GPs in Fedhealth network
  • Otherwise, 100% scheme rate, limited to R2,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,754 R1,375 R677
Children: Pay for all children
Income limit: R10,501-R12,000 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:
2. Hospital Choice:
  • Network, or R10,000 co-payment
3. Specialised Radiology:
  • R12,100 per person and R24,400 per family
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • PMBs only, in state facilities
6. Co-payments:
7. Alternatives to hospitals:
  • PMBs only, excludes hospice

View this plan | Sign up for this plan

Fedhealth Blue Door E: In-hospital Benefits
In brief: 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.
1. Payout Rate:
  • Covered in full for specialists and GPs in Fedhealth network
  • Otherwise, 100% scheme rate, limited to R2,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,378 R2,061 R895
Children: Pay for all children
Income limit: R12,001+ (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:
2. Hospital Choice:
  • Network, or R10,000 co-payment
3. Specialised Radiology:
  • R12,100 per person and R24,400 per family
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • PMBs only, in state facilities
6. Co-payments:
7. Alternatives to hospitals:
  • PMBs only, excludes hospice

View this plan | Sign up for this plan


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