Monthly Costs:
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- R1,207
- Only pay for 3 children
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- This plan offers a flexible savings option, which you only pay for if you use it. This cost is not included above.
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- Main= R7,000
- Main+1= R13,000
- Main+2= R14,800
- Main+3= R17,400
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- Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
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- Under 27yrs, provided they are financially dependant, unmarried and don't earn more than the maximum social pension
- Only pay for 3 children
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- 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
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♦️View all the other benefits for this plan:♦️
Inhospital |
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
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Prosthetics benefits (2024):
Overal Limit: |
- Internal: R27,900 unless listed below
- External: R12,900
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Prosthetics required for PMB conditions are always paid paid in full by scheme, with no co-payment, if you follow the protocols. More info here |
Sub-limits: |
- Aorta Stent Grafts: R65,500
- Cardiac pacemakers: PMBs only
- Cardiac stents: PMBs only
- Cardiac Valves: PMBs only
- Detachable platinum coils: R56,700
- Intraocular lenses: R3,500
- Total ankle replacement: No benefit
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Note: |
- PMBs: Prescribed Minimum Benfits. PMBs cannot have sublimits or co-payments if protocols are followed. You can read more about PMBs here.
- 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
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♦️View all the other benefits for this plan:♦️
Inhospital |
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
|
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