Fedhealth FlexiFed 3 Any:
cancer, maternity and mental health (2025)

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This page has information on: Costs, Maternity, Oncology, Mental Health for Fedhealth FlexiFed 3 Any

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Monthly Costs (2025)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

FlexiFed 3 Any 2025 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R4,320
  • R3,957
  • R1,531
  • Only pay for 3 children
Savings (per year):
  • This plan offers a flexible savings option, which you only pay for if you use it. This cost is not included above.
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • Main= R7,900
  • Main+1= R13,700
  • Main+2= R15,600
  • Main+3= R18,400
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Children Rates:
  • Under 27yrs, if financially dependant, unmarried and don't earn more than max social pension
  • Only pay for 3 children
Note:
  • Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list.
  • All treatments and procedures are subject to authorisation and protocols
  • All benefits are listed as an indication only. Please verify with your broker and scheme
View all the other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity
Cancer | Mental Health | Dentistry | Optometry
Other/Extra Benefits | Wellness | Prosthetics

You can also:
Compare any two plans, side by side | View all the Fedhealth plans, with costs and brief summary.

Find all other open medical aid plans here.
.

Cancer/ Oncology benefits (2024):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Fedhealth: FlexiFed 3 Any
Assume scheme pays all these costs, unless otherwise stated
Overall cancer coverage (in and out of hospital):
  • R350,000 per family
  • You have the option of moving to a higher plan within 30 days of cancer diagnosis
  • Note: Most cancers are PMBs, and treatment is paid in full by scheme. More info here
  • Most schemes require use of specific providers (DSPs) for oncology treatment.
 Treatment required for PMB conditions is always paid by scheme, with no co-payment, if you follow the protocols.
View all the other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity
Cancer | Mental Health | Dentistry | Optometry
Other/Extra Benefits | Wellness | Prosthetics

You can also:
Compare any two plans, side by side | View all the Fedhealth plans, with costs and brief summary.

Find all other open medical aid plans here.
.

Maternity benefits (2024):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Fedhealth: FlexiFed 3 Any
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:
  • Scheme rate
  • Note: You can upgrade to a higher plan within 30 days of pregnancy confirmation
 Usually covered for 2 nights for natural birth, and 3 nights for C-sections. All newborns receive immediate full medical aid cover at birth, even if parents are on a waiting period.
Consultations:
  • Consults: 12 consults paid by scheme
  • Thereafter, From day to day benefit
Scans:
  • 2 x 2D ultrasound scans
Note:
View all the other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity
Cancer | Mental Health | Dentistry | Optometry
Other/Extra Benefits | Wellness | Prosthetics

You can also:
Compare any two plans, side by side | View all the Fedhealth plans, with costs and brief summary.

Find all other open medical aid plans here.
.

Mental Health benefits (2024):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Fedhealth: FlexiFed 3 Any
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings (per year):
  • This plan offers a flexible savings option, which you only pay for if you use it. This cost is not included above.
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • Main= R7,900
  • Main+1= R13,700
  • Main+2= R15,600
  • Main+3= R18,400
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
In-hospital:
  • PMBs: 21 days admission
  • Alcoholism/Drug Addiction: 21 days admission
  • Otherwise, R28,000
Out-of-hospital:
  • PMBs: 10+ consults, paid by scheme
  • Otherwise, from day-to-day benefit
Trauma:
  • Traumatic event claims: 6 counselling sessions per person per year, for the year in which the trauma event occurred and the year after
Note:
  • PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness.
  • DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
  • Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
View all the other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity
Cancer | Mental Health | Dentistry | Optometry
Other/Extra Benefits | Wellness | Prosthetics

You can also:
Compare any two plans, side by side | View all the Fedhealth plans, with costs and brief summary.

Find all other open medical aid plans here.
.

    Important!
  • Unless specified, assume that all benefits are paid are paid at 100% scheme rate
  • No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
  • "Unlimited" benefits are still subject to authorisation, protocols and sublimits
  • Assume that all benefits need to be pre-authorised


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