maxima EXEC
maxima EXEC
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- Comprehensive cover, Generous Savings, Mature Members
maxima EXEC is a comprehensive medical aid option that takes great care of mature members’ health.
- Unlimited private hospital cover
- Generous Savings for day-to-day expenses
- Pay child rates for student children up to the age of 27
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Type of Plan
maxima EXEC is a comprehensive option, which means it has an in-hospital cover, a Medical Savings Account and a Threshold benefit built-in.
Choose how you pay for your day-to-day benefits and which hospitals you want available to you
Hospital Plan
More info
This plan provides cover for hospitalisation, ensuring
you're protected during medical emergencies. However,
for day-to-day benefits
like dentist visits or
medications, you'll need to
pay from your pocket.
No savings plan to pay for your day-to-day benefits.
This keeps your contributions as low as possible.
Savings Plan
Pick a Savings Plan to enjoy the
benefits of a traditional medical
savings account. This is solid
hospital cover with an additional
amount added to your premium to
cover your day-to-day expenses,
such as a specialist visits or blood
tests.
Your monthly deposit is increased to add to your savings account.
These savings can be used to pay for your day-to-day benefits
Flexible Savings Plan
A Fedhealth innovation! A Flexible
Savings Plan is for you if you want
mostly a hospital plan, but like the
idea of having a day-to-day back-up
plan. Make transfers from your
MediVault to your Wallet to pay for
antibiotics at the pharmacy or a
physio visit. You only pay for what
you use – interest-free over 12
months.
Select an annual maximum amount for your savings account.
When you need to pay for day-to-day benefits move savings from your MediVault to your MediWallet as needed, and you only pay for the amount withdrawn from the MediVault over a 12-month period
How does Flexible Savings work?
Let’s say you only get sick once in the year, or hurt.
You’d only want to pay for the medical savings you need to cover this one event, right?
Here’s how it would work:
- You’d need R600 worth of medication for this one-time flu.
- Simply transfer the R600 from your MediVault to your Wallet to pay for this medication.
- The R600 you used is divided into 12 equal payments and added to your monthly premium in order for you to pay it off.
In summary:
You spent R600 of your Savings:
R600 / 12 = R50 pm
Added to your monthly payment:
E.g: R1 716 + R50 = R1 766 p/m for the rest of the year
Instead of paying R2 000 p/m for traditional savings, you only spend the R50p/m to pay back what you’ve used.
How does this apply to me?
Hospital Discount Structures
Which hospitals would you like to access on your plan?
Want to save some real money on your monthly medical aid? At Fedhealth, you have two discounts to consider. Choose between two variants for a significant discount on your contributions.
Which hospitals would you like to access on your plan?
Want to save some real money on your monthly medical aid? At Fedhealth, you have two discounts to consider. Choose between two variants for a significant discount on your contributions.
Any Hospital
Full cover at all private hospitals for emergencies or planned procedures.
GRID Network Hospitals
Save 10% on your monthly contribution by using one of the 120 world-class Fedhealth GRID network hospitals conveniently located across South Africa for all planned procedures. If you need emergency treatment, this hospital cover will ensure you’re always taken to the nearest facility for stabilising treatment.
Save 10% with a GRID option
Elect Hospitals
To enjoy 25% off your monthly contribution, you can use any private hospital for all planned procedures but pay a R14 700 co-payment. In the case of an emergency, you will always be taken to the nearest facility for stabilising treatment.
Save 25% with an Elect option
Need more detail?
Benefits we cover
In Hospital Cover
- Here are the procedures and treatments that take place in-hospital which you’re covered for under this option.
- There’s no overall annual limit for private hospitalisation, so enjoy the peace of mind of knowing that you’re covered no matter what.
- Network GPs and specialists are covered unlimited at cost.
- Non-network GPs, specialists and other healthcare providers are covered up to 100% of the Fedhealth Rate.
- Oncology benefit: R624 000 per year and paid from Core protocol. You will have a 25% co-payment if you don't use our Designated Service Provider, ICON.
- We offer R194 600 for specialised medication (biologicals) for oncology and non-oncology related conditions.
*Covers all admissions at any private hospital except the following hospitals: Zuid-Afrikaans Hospital (City of Tshwane), Arwyp Medical Centre (Ekurhuleni), Busamed Modderfontein Private Hospital (City of Johannesburg), Hibiscus Hospital (Ugu), Mooimed Private Hospital (Dr Kenneth Kaunda), Capital Hospital (Durban), which will not be covered in full for 2024. Emergency treatment at these 7 hospitals, however, will be covered in full without a co-payment but elective procedures will attract a R8 400 co-payment
Chronic Benefits
- Enjoy cover for 56 chronic conditions with limits of R7 890 per beneficiary, with an overall limit of R14 500 per family per year.
- Once you’ve reached the annual limits after claiming medicine for the 27 CDL conditions and the 29 additional conditions, you will have unlimited cover for diseases on the CDL only.
*Comprehensive formulary applies.
Screening Benefits
- Prevention is better than cure! Make sure you and your loved ones can get all the tests and healthcare assessments you need to keep your health on track.
- We cover one Pap smear (cervical cancer screening) every three years for women aged 21 to 65.
- We cover 1 HPV PCR test every 5 years for women aged 21 - 65.
- We cover one Prostate Specific Antigen (PSA) test per year for men aged 45 to 69.
- Check your levels: We cover one cholesterol screening (full lipogram) every five years for everyone over the age of 20.
- Over 40's health matters: We cover a breast cancer screening (mammogram) for everyone over 40 every 2 years.
- Protect those bones! Get a bone densitometry test every two years - for women over the age of 65 and men over the age of 70.
- We cover a colorectal cancer screening for all members from 50 to 75 every year.
- HPV vaccine for all female beneficiaries aged 9 - 16 years. This benefit covers 2 doses per lifetime.
- Protect your family in winter: Everyone gets a free flu vaccination once a year.
- Get a pneumococcal vaccination if you're 65 or older - 1 per lifetime.
- We cover one HIV finger prick test for all members once a year.
- All members enjoy one wellness screening per year including BMI, blood pressure, finger prick cholesterol and glucose tests.
- Find your fitness: all members enjoy one preventative screening by a contracted wellness network provider per year including waist-to-hip ratio, body fat %, flexibility, posture and fitness.
Additional Benefits
- Enjoy even more peace of mind with extra benefits like professional medical advice and a transport service when you need a check-up after being in hospital.
- Life can change in an instant: Upgrade to a higher option ANY TIME of the year within 30 days of a life-changing event, like a pregnancy or being diagnosed with a serious illness.
- Got a health-related question? Phone our 24-hour toll-free Nurse Line and get 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).
- Get help when you need it most: Call our USSD call-back service, SOS Call Me, to access Emergency Medical Services, the Fedhealth Nurse Line or MediTaxi – free of charge.
- Want to manage your weight better but not sure how? Qualifying members can join our 12-week Weight Management Programme led by biokineticists and dieticians, so you can make healthy and sustainable lifestyle changes.
- Quit smoking for good! We cover the GoSmokeFree Smoking Cessation Programme so you can kick the smoking habit once and for all.
- Need a little support through life's ups and downs? The October Health app, available through the Fedhealth Member App, provides mental health support to Fedhealth members.
Your day-to-day benefits
Fedhealth’s maxima medical aid plans help your money go further by covering you for a range of day-to-day benefits from Risk, and not your savings. This means members can save a significant amount since they can use their savings for other expenses instead.
Benefits Unique To Fedhealth
- We cover take-home medicine for seven days per hospital event at 100% of the Medicine Price List.
- Get cover for follow-up treatment for 30 days once you’re discharged from hospital, like physio, x-rays and pathology.
- Receive trauma treatment at a casualty ward – whether you’re admitted to the hospital or not. An R800 co-payment will apply per visit for non-PMBs (if you’re not admitted to hospital straight from casualty).
- Enjoy unlimited specialised radiology paid by the Scheme if you get pre-authorisation from us. The first R2 810 for non-PMB MRI/CT scans will be for your account.
- Female contraception including oral, patches, contraceptive rings, certain injectables and IUDs that include Mirena*
*These need to be prescribed by a GP or gynae and can not be prescribed for acne.
Threshold Benefits
The Threshold Benefit pays for members’ day-to-day expenses once claims have accumulated up to the required level
- Once your claims have accumulated to a pre-determined Threshold level, any further claims will be paid from the Threshold Benefit, with a 10% co-payment for your account on all claims paid from the Threshold benefit (except claims for network specialists). Certain day-to-day expenses are limited.
*These are the Threshold levels: Principal member R18 100 Adult R13 800 Child (up to a maximum of 3 children) R4 700.
For our pregnant members:
- Get access to our Fedhealth Baby Programme for great discounts, gifts and parenting advice.
- Our postnatal midwifery benefit includes four consultations with a midwife in- and out-of-hospital.
- Want to use a doula? We cover doulas up to R3 600 per delivery.
- We cover one test with an audiologist per newborn up to the Fedhealth Rate (including consultation).
- Worried sick about your child? Use the Paed-IQ advice line for all your paediatric questions.
Frequently asked questions
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R0 Day-to-day portion
R0 p/m
Annual day-to-day: R0 p/y
*Calculations are not final and does not include any late joiner penalties or pro rate amounts
Having trouble choosing ?
Want to check out other plans?
Need a medical aid quote?
Tell us about you and your healthcare needs, and we’ll suggest a medical aid plan that closely matches your needs and budget
