How are we revolutionising Medical Aid

 

We’re giving the power back to you by allowing you to create your aid, enjoy greater CHOICE and SAVE. We enable you to do this in 3 simple steps:

 

SELECT YOUR FAMILY COMPOSITION

 

Single and ready to mingle? Mom or Dad with another one on the way? Family with teens slamming doors?

Where you’re at in your life is a great place to start in order to create-your-aid, as a single, healthy person

has vastly different needs to a family of three. So start by choosing one of the four benefit bundles

in our flexiFED range:

 

flexiFED 1

CORE BENEFIT BUNDLE FOR YOUNG PEOPLE WHO ARE SINGLE, IN A RELATIONSHIP OR JUST MARRIED.

<< From R1 611 per member

per month

 

– Unlimited hospital cover at

network hospitals

– Unlimited network GP and Specialist cover at cost in-hospital

– Unlimited cover for conditions on the Chronic Disease List (CDL) at provider of choice and subject to basic formulary

– Women’s, children’s, cardiac and general health risk assessments and screenings

– Benefit Maximiser with unlimited network GP visits and preventative dentistry

– Additional benefits including option upgrades any time of the year in the case of a life-changing event, 24-hour Nurse Line, emotional wellbeing programme, etc.

 

flexiFED 2

CORE BENEFIT BUNDLE FOR YOUNG FAMILIES WHO ARE JUST STARTING OUT.

<< From R 2 086 per member

per month

 

– Unlimited hospital cover at hospitals of choice

– Unlimited network GP and Specialist cover at cost in-hospital

– Unlimited cover for conditions on the Chronic Disease List (CDL) at provider of choice and subject to intermediate formulary

– Focus on maternity benefits

– Women’s, children’s, cardiac and general health risk assessments and screenings

– Benefit Maximiser with unlimited network GP visits and basic dentistry

– Additional benefits including option upgrades any time of the year in the case of a life-changing event, 24-hour Nurse Line, emotional wellbeing programme, etc.

 

flexiFED 3

CORE BENEFIT BUNDLE FOR YOUNG STILL GROWING FAMILIES.

<< From R2 294 per member

per month

 

– Unlimited hospital cover at hospitals of choice

– Unlimited network GP and Specialist cover at cost in-hospital

– Focus on maternity and young children’s benefits

– Unlimited cover for conditions on the Chronic Disease List (CDL) at provider of choice and subject to intermediate formulary

– Women’s, children’s, cardiac and general health risk assessments and screenings

– Benefit Maximiser with unlimited network GP visits, optometry and

basic dentistry

– Additional benefits including option upgrades any time of the year in the case of a life-changing event, 24-hour Nurse Line, emotional wellbeing programme, etc.

 

flexiFED 4

CORE BENEFIT BUNDLE FOR MATURE FAMILIES.

<< From R3 031 per member

per month

 

– Unlimited hospital cover at hospitals of choice

Unlimited network GP and Specialist cover at cost in-hospital

– Unlimited GP visits from R1

– Focus on children’s benefits

– Unlimited cover for conditions on the Chronic Disease List (CDL) plus 16 additional chronic conditions at provider of choice and subject to intermediate formulary

– Women’s, children’s, cardiac and general health risk assessments and screenings

– A Threshold Benefit for day-to-day expenses once threshold levels are reached

– Additional benefits including option upgrades any time of the year in the case of a life-changing event, 24-hour Nurse Line, emotional wellbeing programme, etc.

 

SAVE 11% BY CHOOSING TO USE

FEDHEALTH NETWORK HOSPITALS

 

By committing to using Fedhealth’s network of more than 100 world-class private hospitals only,

you will save 11% on your monthly contribution.

 

Remember, in the case of an emergency or accident (unforeseen and life-threatening events), you can still use any private hospital and you will be covered without any co-payment. The use of network hospitals only applies to planned procedures. Check our list of network hospitals to see if there is a private hospital close to you in case of planned procedures, before choosing this discount.

 

OR

 

SAVE 25% BY CHOOSING TO PAY AN R11 500

CO-PAYMENT ON PLANNED PROCEDURES

 

Healthy and don’t think you’ll need any planned procedures in the near future? Choose to pay a fixed co-payment of R11 500 on all planned hospital events and we can slash your monthly

contribution by 25%.

 

In the case of an emergency or accident (unforeseen and life-threatening events), you can use any private hospital and you will be covered without any co-payment. This co-payment will only apply to planned procedures.

 

ACCESS YOUR MEDIVAULT AND WALLET FOR DAY-TO-DAY EXPENSES

 

You don’t have to pay for day-to-day savings upfront. You’re now allocated money for day-to-day expenses, available in your personal MediVault. This amount is based on your selected benefit bundle and family composition, and is not pro-rated, i.e. even if you only join in August, you’ll have the same amount available as you would have in January.

 

To access these funds, you can transfer it in full upfront, or in increments of R600, to your Wallet. You’ll only have to pay back the money that has been transferred from your MediVault to your Wallet – interest-free over a period of 12 months. E.g. from April 2019 to April 2020.

 

An allocated amount based on your Core Benefit Bundle and family composition will be available in your MediVault . If you don’t use it you don’t pay for it.

 

Transfer funds from the MediVault to your Wallet  as and when required Claims for day-to-day expenses  will be paid from your Wallet.

 

Only pay back amounts transferred from the Medi Vault to Wallet over a rolling 12 month period INTEREST FREE

 

flexiFED 1, 2 and 3

Once your day-to-day claims have accumulated to the Benefit Maximiser Threshold Level certain claims will be paid from the Benefit Maximiser. These include optometry, dentistry and unlimited network GP visits.

 

flexiFED 4

On flexiFED 4, submit claims to accumulate to a pre-determined threshold level, thereafter claims will be paid from the Threshold Benefit with a 20% co-payment on  all claims for your pocket.

 

TSHEPO CHOSE:

flexiFED 2, the hospital plan for family start-ups.

 

Tshepo joined the Revolution

 

BASE PRICE:

R2 086 p/m for a single member

 

Tshepo is a single guy. He chose flexiFED 2 because he liked the fact that he could get a 11% discount on his monthly contribution by selecting to use network hospitals only for non-emergency hospitalisation. Since Fedhealth has a list of over 100 network hospitals, he quickly found out that Life Fourways Hospital, a hospital on the list, is a stone’s throw from his home. But, in the case of an emergency, Tshepo can still go to any hospital which gives him a lot of peace of mind. His contribution is now only R1 856 per month, a saving of R230 per month or R2 760 per year.

 

 

Lastly, Tshepo considers his day-to-day expenses – Fedhealth makes a MediVault of R3 600 available for the year on this option. Tshepo is one of those lucky folks who don’t often need the doctor, so he decides not to transfer any funds from his MediVault to his Wallet just yet. But it is great to know that he can use it and pay it back over 12 months interest-free should he incur any day-to-day medical expenses.

 

 

By joining the medical aid revolution and creating his aid, Tshepo now pays: R1 856 p/m

 

Tshepo saves R230 p/m or R2 760 per year