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= R7,000
Main+1= R13,000
Main+2= R14,800
Main+3= R17,400
"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, provided they are financially dependant, unmarried and don't earn more than the maximum 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