Quick Links: Discovery | Momentum | Bonitas | Other plans | PMB conditions | Waiting Periods | Late Joiner Penalties

Fedhealth FlexiFed 4 Elect: prosthetic benefits (2024)

This page has information on: Costs and Prosthetics for Fedhealth FlexiFed 4 Elect

We also have information for: In-hospital, Out of hospital, Medicine, Dentistry, Optometry, Maternity, Cancer, Mental Health, Other/Extra Benefits and Wellness and Preventative

Find all the open medical aid plans here.
Compare any two plans side by side, instantly.

Monthly Costs:

FlexiFed 4 Elect 2024 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R3,805
  • R3,546
  • R1,167
  • 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= R18,500
  • Main+1= R33,700
  • Main+2= R38,200
  • Main+3= R42,700
"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
♦️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
.



You'll get the printable guide as well as a weekly newsletter 🙂

Prosthetics benefits (2024):

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

Fedhealth: FlexiFed 4 Elect
Overal Limit:
  • Internal: R27,900 unless listed below
  • External: R12,900
 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, stents, valves: R31,000
  • Detachable platinum coils: R56,700
  • Intraocular lenses: R3,500
  • Elbow, hip, knee and shoulder replacement:: R31,000
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
♦️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
.
.
.
Always consult with your broker before making final decisions regarding your healthcare cover.

    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

Also see these:




You’ll get the printable guide as well as a weekly newsletter 🙂
hello@rehealth.co.za
Terms and Conditions | Privacy