Fedhealth Maxima Exec:
dentistry, optometry and wellness (2025)

What's on this page:

  1. Monthly Costs (2025)
  2. Dentistry benefits (2024):
  3. Optometry benefits (2024):
  4. Wellness/Preventative benefits (2024):
  5. Other benefits for 2024:
This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Fedhealth Maxima Exec View all the Fedhealth plans, with costs and brief summary.

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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)

Maxima Exec 2025 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R10,719
  • R9,304
  • R3,312
  • Only pay for 3 children
Savings:
  • R12,156
  • R10,548
  • R3,744
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R9,044
  • R5,052
  • R1,156
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Unlimited
  • Unlimited
  • Unlimited
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.
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Dentistry benefits (2024):

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

Fedhealth: Maxima Exec
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings:
  • R12,156
  • R10,548
  • R3,744
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R9,044
  • R5,052
  • R1,156
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Unlimited
  • Unlimited
  • Unlimited
Standard Dentistry:
  • From day-to-day benefit
  • Unlimited once Threshold is reached.
Specialised Dentistry:
  • From day-to-day benefit , including Threshold.
  • R8,270 per person and R24,700 per family before and after Threshold
  • Osseo-integrated implants, orthognathic surgery: From day-to-day benefit. Does not accumulate or pay from Threshold
In-Hospital Dentistry:
  • Maxilo-facial surgery: Unlimited, subject approval
  • Children under 7: hospital and anaesthetist paid by scheme. Dentist account paid out-of-pocket
  • Wisdom teeth: R5,440 co-payment
 PMBs are always covered by the scheme, and cannot have sublimits or co-payments imposed. These include fracture of face bones, orbit and/or jaw. You can see a full list of maxillo facial PMB benefits here.
Orthodontics:
  • From day-to-day benefits. Does not accumulate to or pay from Threshold.
Note:
  • PMBs: Prescribed Minimum Benfits. To read more about PMBs click 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:
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.

Optometry benefits (2024):

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

Fedhealth: Maxima Exec
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings:
  • R12,156
  • R10,548
  • R3,744
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R9,044
  • R5,052
  • R1,156
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Unlimited
  • Unlimited
  • Unlimited
Optometry:
  • From day-to-day benefits
  • R3,740 per person and R11,400 per family, before and after Threshold
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.
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.

Wellness/Preventative benefits (2024):

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

Fedhealth: Maxima Exec
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 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.

Other benefits for 2024:

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

Maxima Exec
International Insurance: .
Other: .
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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