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

• Unlimited network hospitalisation for your peace of mind if you do need to be admitted.
• Unlimited maternity cover at cost,  with network GPs and specialists.
• Unlimited coverage for network GPs and specialists.

Coverage for non-network GPs, specialists, and other healthcare providers covered up to 100% of the Fedhealth Rate

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

This means you get unlimited cover for diseases on the CDL at a Preferred Provider (see below). Basic formulary and the Medicine Price List (MPL) apply.

Preferred Providers:

Clicks, Dis-Chem, Medirite (and their courier pharmacies), and Pharmacy Direct

While you may be young and free of any serious health issues, prevention is better than cure. Get all the tests and healthcare assessments you need to keep your health on the right track as a young single.

• We cover one Pap smear (cervical cancer screening) every three years for women aged 21 to 65.
• Get a free cholesterol screening (full lipogram) every five years if you’re over the age of 20.
• Enjoy a free flu vaccination once a year!
• Get one free HIV finger-prick test per year.
• Enjoy one wellness screening per year including BMI, blood pressure, finger-prick cholesterol, and glucose tests.
• Enjoy one preventative screening per year with a contracted wellness network provider including waist-to-hip ratio, body fat %, flexibility, posture, and fitness assessments.

While you may be in great health, we want to optimise it even more, which is why we offer extras to this hospital plan such as professional medical advice and a transport service when you need post-hospitalisation check-ups.

• You can upgrade to a higher option within 30 days of a life-changing event, like a pregnancy or the diagnosis of a dread disease.
• Phone our 24-hour toll-free Nurse Line for expert medical and health advice from qualified nurses.
• Our MediTaxi service transports you to follow-up medical treatments following a hospital stay (only certain regions).
• Use our USSD call-back service, SOS Call Me, to access Emergency Medical Services, the Fedhealth Nurse Line or MediTaxi – free of charge to you!
• If the stress of adulting is affecting your waistline, join our 12-week Weight Management Programme led by biokineticists and dieticians to make healthy lifestyle changes.
• We cover the GoSmokeFree Smoking Cessation Programme to help you quit your smoking habit for good!
• Need a little support through life's ups and downs? The Panda app, available through the Fedhealth Member App, provides mental health support to Fedhealth members.

You pay back your Fedhealth Savings over 12 months, interest-free.

• All pregnant members and dependants can join the Fedhealth Baby Programme.
• We cover four consultations with a midwife in- and out-of-hospital under our postnatal midwifery benefit.
• We cover a doula up to R3 000 per delivery.
• We cover one test with an audiologist per infant up to the Fedhealth Rate (including consultation).
• You have 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 will cover your follow-up treatment for 30 days once you get discharged from hospital, like physio, x-rays and pathology.
• You benefit from trauma treatment at a casualty ward – whether you’re admitted to the hospital or not. A R750 co-payment will apply per visit for non-PMBs (if you’re not admitted to hospital straight from casualty).
• You enjoy unlimited specialised radiology from Risk if you get pre-authorisation from us. The first R3 650 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).

Threshold Benefit:

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

• Unlimited GP visits at nominated network GPs!
• A preventative dentistry benefit at a contracted dentist including x-rays, scaling and polishing.