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Hospital Plans
| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima EntryZone Fedhealth |
R 1,424 pm | R 1,080 | R 482 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Core Fedhealth |
R 2,082 pm | R 1,806 | R 732 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Core Grid Fedhealth |
R 1,638 pm | R 1,596 | R 646 | 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. Only available for income level: All income levels View this plan |
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Saver Plans
| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima EntrySaver Fedhealth |
R 1,759 pm | R 1,298 | R 585 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Saver Fedhealth |
R 2,259 pm | R 1,867 | R 657 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Saver Grid Fedhealth |
R 2,003 pm | R 1,673 | R 534 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Basis Fedhealth |
R 2,722 pm | R 2,374 | R 826 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Basis Grid Fedhealth |
R 2,407 pm | R 2,106 | R 732 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Advanced Fedhealth |
R 3,607 pm | R 3,138 | R 1,082 | 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. Only available for income level: All income levels View this plan |
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Comprehensive Plans
| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Standard Fedhealth |
R 3,310 pm | R 2,890 | R 998 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Standard Elect Fedhealth |
R 2,527 pm | R 2,210 | R 763 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Exec Fedhealth |
R 4,805 pm | R 4,103 | R 1,463 | 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. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Plus Fedhealth |
R 7,535 pm | R 6,415 | R 2,303 | Yes | Yes | Unlimited | Unlimited | |
| Comprehensive plan with extended fund and threshold benefits that can be used for most out-of-hospital claims. Only available for income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ultimax Fedhealth |
R 10,306 pm | R 8,761 | R 3,150 | 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. Only available for income level: All income levels View this plan |
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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 View this plan |
| R8,561-R10,700 |
R1,423 pm (Savings: R2,640) |
R1,309 pm (Savings: R2,436) |
R479 pm (Savings: R888) |
Network View this plan |
| R10,701-R16,050 |
R1,569 pm (Savings: R2,916) |
R1,441 pm (Savings: R2,676) |
R528 pm (Savings: R984) |
Network View this plan |
| R16,051+ |
R1,714 pm (Savings: R3,180) |
R1,575 pm (Savings: R2,928) |
R576 pm (Savings: R1,068) |
Network View this plan |
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 View this plan |
| R5,565-R9,095 |
R1,070 pm |
R901 pm |
R516 pm |
Network View this plan |
| R9,096-R11,235 |
R1,500 pm |
R1,269 pm |
R568 pm |
Network View this plan |
| R11,236-R12,840 |
R1,907 pm |
R1,524 pm |
R736 pm |
Network View this plan |
| R12,841+ |
R2,585 pm |
R2,284 pm |
R973 pm |
Network View this plan |
