Compare Comprehensive Medical Aid Plans | Fedhealth Medical Aid
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Our three comprehensive medical aid plans all offer you extensive coverage, giving you the ultimate in peace of mind knowing that you and your family’s medical needs are in the best possible hands.

Get covered for any medical expenses you may face, with various levels of cover under our major medical benefit, and different levels of day-to-day coverage. So whether it’s the oncologist or the optician you need to see, compare our comprehensive medical aid plans below and choose the best medical aid for you:

 

Comprehensive Options – Quick Comparison
Maxima Plus
From R7535p/pm
Maxima Exec
From R4 805p/pm
Maxima Standard
From R3 310p/pm
Maxima StandardELECT
From R2 527p/pm
Foundation Benefit The Foundation benefit offers members a host of valuable benefits,
from important health screenings to maternity benefits.
Major Medical Benefits Hospitalisation No overall annual limit No overall annual limit.
Network hospitals only
Network FPs & Specialists Unlimited cover at cost with Fedhealth Network FPs and Specialists
Non-Network FPs Up to 100% of Fedhealth rate
Non-Network Specialists Up to 200% of Fedhealth rate Up to 100% of Fedhealth rate
Other healthcare professionals Up to 300% of Fedhealth rate Up to 100% of Fedhealth rate
Oncology Unlimited R529 000 R423 200
Organ Transplant Unlimited R529 000 R423 200
Renal Dialysis Unlimited R529 000 R423 200
Specialised Medication R331 100 R165 000 No Benefit
Chronic Disease Benefit 51 Conditions
R14 300 per beneficiary
R26 800 per family
51 Conditions
R6 800 per beneficiary
R12 500 per family
39 Conditions
R5 410 per beneficiary
R10 800 per family
Comprehensive Options: Day-to-day Benefits
Annual threshold level
Principal member
Adult
Child (Up to a max. of 3 children)
R14 342
R11 031
R3 825
R12 320
R9 460
R3 168
R12 320
R9 460
R3 168
Available for day-to-day expenses
Principal member
Adult
Child (Up to a max. of 3 children)
R13 280
R10 226
R3 364
R9 672
R7 836
R1 952
R7 152
R6 240
R2 160
R5 460
R4 776
R1 644
FP consultations Unlimited FP visits at Fedhealth Network FPs
Specialised radiology Unlimited specialised radiology paid from the Major Medical Benefit if pre-authorised Unlimited specialised radiology paid from the Major Medical Benefit if
pre-authorised. First R2 100 for non-PMB MRI / CT scans is for the member’s account
Limits Limits may apply when calculating certain claims for accumulatoin to Threshold. These limits will also apply for refunds from OHEB and Threshold Limits may apply when calculating certain claims for accumulatoin to
Threshold. These limits will also apply for refunds from Threshold
Additional medical services Limit of R16 600 per family per year for the total of all additional medical services including psychiatrists In and out-of-hospital: Subject to Savings & OHEB. Does not accumulate to Threshold. Paid from Threshold up to R16 600 per family per year In and out-of-hospital: Subject to Savings. Does not accumulate to Threshold. Paid from Threshold up to R11 100 per family per year
Antenatal scans Two 2D antenatal scans per person per year
Advanced dentistry Limit of R7 100 per person per year, up to an overall limit of R21 100 per family per year
Appliances, external accessories and orthotics Limit of R14 800 per family per year. Sub-limit of R4 130 for foot orthotics In & out-of-hospital. Limit of R14 800 per family per year. Sub-limit of R4 130 for foot orthotics. Doesn’t accumulate to but does pay from Threshold In & out-of-hospital. Limit of R11 100 per family per year. Sub-limit of R4 130 for foot orthotics. Doesn’t accumulate to but does pay from Threshold
Optometry Limit of R3 180 per person per year, up to an overall limit of
R9 700 per family per year
Prescribed medication Limit of R9 500 per person per year, up to an overall limit of R18 800 per family per year Limit of R6 800 per person per year, up to an overall limit of R12 500 per family per year Limit of R5 410 per person per year, up to an overall limit of R10 800 per family per year