Fedhealth:
All the 2025 medical aid plans

Table of Contents:

// Savvy

Fedhealth FlexiFed Savvy:

Main Adult Child
2025 cost: R 1,055 R 1,055 R 775
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
Main Adult Child
2026 cost: R 1,155 R 1,155 R 849
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
View all benefits for this plan
.

// FlexiFed

Fedhealth FlexiFed 1 Elect:

Main Adult Child
2025 cost: R 1,953 R 1,526 R 711
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R5,400
  • Main+1= R8,600
  • Main+2= R10,500
  • Main+3= R12,500
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 2,051 R 1,602 R 747
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 5,508
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 4 Elect:

Main Adult Child
2025 cost: R 4,330 R 4,035 R 1,328
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R18,500
  • Main+1= R33,700
  • Main+2= R38,200
  • Main+3= R42,700
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 4,958 R 4,620 R 1,521
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 22,308
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 4 Grid:

Main Adult Child
2025 cost: R 5,180 R 4,737 R 1,561
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R18,500
  • Main+1= R33,700
  • Main+2= R38,200
  • Main+3= R42,700
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 5,931 R 4,620 R 1,521
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 22,308
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 1 Main:

Main Adult Child
2025 cost: R 2,505 R 1,963 R 917
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R5,400
  • Main+1= R8,600
  • Main+2= R10,500
  • Main+3= R12,500
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 2,630 R 2,061 R 963
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 5,508
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 2 Any:

Main Adult Child
2025 cost: R 3,787 R 3,370 R 1,118
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R6,200
  • Main+1= R11,300
  • Main+2= R12,800
  • Main+3= R16,400
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 4,147 R 3,690 R 1,224
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 8,724
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Most hospitals
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 2 Elect:

Main Adult Child
2025 cost: R 2,835 R 2,534 R 842
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R6,200
  • Main+1= R11,300
  • Main+2= R12,800
  • Main+3= R16,400
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 3,104 R 2,775 R 922
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 8,724
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 2 Grid:

Main Adult Child
2025 cost: R 3,396 R 3,027 R 1,003
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R6,200
  • Main+1= R11,300
  • Main+2= R12,800
  • Main+3= R16,400
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 3,719 R 3,315 R 1,098
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 8,724
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 3 Any:

Main Adult Child
2025 cost: R 4,320 R 3,957 R 1,531
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R7,900
  • Main+1= R13,700
  • Main+2= R15,600
  • Main+3= R18,400
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 4,946 R 4,531 R 1,753
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 14,400
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Most hospitals
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 3 Elect:

Main Adult Child
2025 cost: R 3,236 R 2,968 R 1,148
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R7,900
  • Main+1= R13,700
  • Main+2= R15,600
  • Main+3= R18,400
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 3,705 R 3,398 R 1,314
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 14,472
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 3 Grid:

Main Adult Child
2025 cost: R 3,874 R 3,553 R 1,374
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R7,900
  • Main+1= R13,700
  • Main+2= R15,600
  • Main+3= R18,400
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 4,436 R 4,068 R 1,573
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 14,436
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Fedhealth FlexiFed 4 Any:

Main Adult Child
2025 cost: R 5,782 R 5,277 R 1,739
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R21,200
  • Main+1= R36,800
  • Main+2= R41,700
  • Main+3= R46,600
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 6,620 R 6,042 R 1,991
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 22,308
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Most hospitals
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

// Maxima

Fedhealth Maxima Exec:

Main Adult Child
2025 cost: R 10,719 R 9,304 R 3,312
Day-to-Day Benefit:
Savings: R 12,156 R 10,548 R 3,744
SPG*: R 9,044 R 5,052 R 1,156
ATB*: Unlimited Unlimited Unlimited
Main Adult Child
2026 cost: R 12,273 R 10,653 R 3,792
Day-to-Day Benefit:
Savings: R 12,528 R 10,872 R 3,864
SPG*: R 9,322 R 5,208 R 1,186
ATB*: Unlimited Unlimited Unlimited
Hospital Choice: Any Hospital
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once you've paid the Self Payment Gap. More info .
View all benefits for this plan
.

Fedhealth Maxima Plus:

Main Adult Child
2025 cost: R 16,937 R 14,619 R 5,233
Day-to-Day Benefit:
Savings: R 7,500 R 6,468 R 2,316
Fund: R10,310 R7,440 R2,290
SPG*: R 3,878 R 2,989 R 1,233
ATB*: Unlimited Unlimited Unlimited
Main Adult Child
2026 cost: R 19,393 R 16,739 R 5,992
Day-to-Day Benefit:
Savings: R 7,728 R 6,672 R 2,388
Fund: R10,310 R7,440 R2,290
SPG*: R 5,042 R 3,898 R 1,632
ATB*: Unlimited Unlimited Unlimited
Hospital Choice: Any Hospital
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once you've paid the Self Payment Gap. More info .
View all benefits for this plan
.
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What does a “PMBs only” restriction mean?
In this case, the scheme will only pay for diagnosis, treatment and management of a claim for one of 270 pre-defined conditions (PMBs). Read more, and see full list of PMB conditions. 

What does “From Risk” mean?
The scheme will pay for this claim from its own funds, not from your savings or other day-to-day benefits. 

What is a DSP?
A Designated Service Provider. The scheme has a network of providers, and will often only pay claims in full if you use a DSP. If you choose another provider, you might have a co-payment, or even no cover. 

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