Fedhealth FlexiFed 3 Any:
dentistry, optometry and wellness (2025)

This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Fedhealth FlexiFed 3 Any View all the Fedhealth plans, with costs and brief summary.

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Terminology:

• PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
• 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
• All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2026)

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

Dentistry benefits (2025):

(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
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 Other Day-to-Day Funds:
Standard Dentistry:	From day to day benefit Once your day-to-day claims have accumulated to the threshold, Fedhealth will pay for 2 consults per person, including x-rays and scaling and polishing, fillings, extractions and root canal
Specialised Dentistry:	From day-to-day benefit	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
In-Hospital Dentistry:	Maxilo-facial surgery: Unlimited, subject to approval Wisdom teeth: R5,730 co-payment Children under 7: Hospital bill paid by scheme. Dentist bill paid from day to day benefit	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
Orthodontics:	From day-to-day benefit

Optometry benefits (2025):

(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
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 Other Day-to-Day Funds:
Optometry:	R1,930 per person, every 24 months
Note:	This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.

Wellness/Preventative benefits (2025):

(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
Flu vaccination:	Covered
Pneumonia vaccines:	Covered, 65yrs+
Biometric Screening:	Covered
Child Immunisation:	Covered, up to 12yrs
Pap Smear:	Covered, 21yrs-65yrs, every 3 years
Mammogram:	Covered, 40yrs+ every 2 years
PAS Test:	Covered, 45yrs-69yrs
HIV Test:	Covered
Other:	Lipogram: Every 5 yrs Faecal occult blood test: Covered, 50yrs-75yrs, every year
View 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.

Other benefits for 2025:

FlexiFed 3 Any
International Insurance:	.
Other:	.

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