Here are the procedures and treatments that take place in hospital which you’re covered for, under this option.

• No overall annual limit for hospitalisation, so you can rest easy knowing you’re always covered.
• Get unlimited maternity cover with network GPs and specialists.
• For non-maternity related, network GPs and specialists are also covered unlimited at cost.
• non-network GPs, specialists and other healthcare providers are covered up to 100% of the Fedhealth Rate.
• Benefit from an oncology benefit of R311 900 available, when you need it most.

You also get a childhood illness specialised drug benefit for children up to 18.

While this is a hospital plan, you’re still covered for 27 chronic diseases listed on the Chronic Disease List (CDL).

This means you get unlimited cover for diseases on the CDL at either a preferred provider or a Designated Service Provider (see below). Intermediate formulary and the Medicine Price List (MPL) apply:

flexiFED 2: Preferred Provider - Clicks, Dis-Chem, Medirite (and their courier pharmacies), and Pharmacy Direct

flexiFED 2 GRID: Designated Service Provider - Clicks, Dis-Chem, Medirite (and their courier pharmacies), and Pharmacy Direct

flexiFED 2 Elect: Designated Service Provider - Clicks Direct Medicines, Dis-Chem Direct, Medirite Courier Pharmacy and Pharmacy Direct

Get all the tests and healthcare assessments you need to ensure that you and your family’s health is always on track.

• We cover one Pap smear (cervical cancer screening) every three years for women aged 21 to 65.
• We cover one Prostate Specific Antigen (PSA) per year for men aged 45 to 69.
• Get them protected: children’s immunisations from birth to 12 years (as per the State EPI) are covered.
• We cover one cholesterol screening (full lipogram) every five years for everyone over the age of 20.
• Everyone in the family enjoys a free flu vaccination once a year!
• We cover one HIV finger prick test for all members once a year.
• Know your stats: enjoy one wellness screening per year including BMI, blood pressure, finger prick cholesterol and glucose tests.
• Keep healthy: benefit from one preventative screening by a contracted wellness network provider per year that includes waist-to-hip ratio, body fat %, flexibility, posture and fitness.
• NEW: From 2022 we now cover the HPV vaccine for all female beneficiaries aged 9 - 14 years. This benefit is 2 doses per lifetime. 

We want your family to be as healthy as possible, which is why we offer bonus extras to this hospital plan including professional medical advice and a convenient transport service when you need to have a check-up after being in the hospital.

• Life changes so fast. With us, you can upgrade to a higher option within 30 days of a life-changing event, like a pregnancy or being diagnosed with a dread disease.
• Want access to a qualified nurse from the comfort of your home? Phone our 24-hour toll-free Nurse Line for expert medical and health advice.
• We’ll get you there: our MediTaxi service transports you to follow-up medical treatments following a hospital stay (only certain regions).
• Run out of airtime? Use our USSD call-back service, SOS Call Me, to access Emergency Medical Services, the Fedhealth Nurse Line or MediTaxi – free of charge.
• Qualifying members can join our 12-week Weight Management Programme led by biokineticists and dieticians to make healthy lifestyle changes.
• Ditch those cigarettes: we cover the GoSmokeFree Smoking Cessation Programme to help members quit smoking – for good.

• Pregnant? Join the Fedhealth Baby Programme for gifts, advice and more.
• We cover four consultations with a midwife in- and out-of-hospital under our postnatal midwifery benefit.
• Interested in using a doula? We cover the cost of a doula up to R3 000 per delivery.
• We cover one test with an audiologist per infant up to the Fedhealth Rate (including consultation).
• Got a question about your baby’s health? Get access to the Paed-IQ advice line for all your paediatric questions.
• We cover take-home medicine for seven days per hospital event at 100% of the Medicine Price List.
• We’ll cover your follow-up treatment for 30 days once you get discharged from hospital, like physio, x-rays and pathology.
• Get trauma treatment at a casualty ward – whether you’re admitted to the hospital or not. A R660 co-payment will apply per visit for non-PMBs (if you’re not admitted to hospital straight from casualty).
• You benefit from unlimited specialised radiology paid by the scheme if you get pre-authorisation from us. The first R2 480 for non-PMB MRI/CT scans will be for your account.
• Female contraception: We cover oral, patches, contraceptive rings, certain injectables and IUDs that include Mirena (prescribed by a GP or gynae, and not prescribed for acne).

Once you’ve reached the Threshold Level you’ll enjoy:

• Unlimited GP visits at nominated network GPs!
• A basic dentistry benefit at a contracted dentist including x-rays, scaling and polishing, fillings, extractions and root canal – so you can keep smiling.