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How to Create a Fedhealth Medical Aid Plan. that meets your needs and pocket!

The ONLY medical aid to really offer you the ability to reduce your premiums!

This page is all about:

  1. Which plan best suits your needs?
  2. Do you want a discounted premium?
  3. Choose how to use and control your day-to-day savings fund.
  4. Summary on Creating Your Medical Aid with Fedhealth.

FACT : the 2 greatest areas of financial risk from high medical expenses are private hospitalisation and dentistry costs.

FACT: If you have the ability to manage your own medical aid, you have the potential of saving premium.

FACT: Only 1 medical aid offers plans that address both these areas!


fedhealth flexible medical aid plan

The one size fits all medical aid is really expensive and does not meet the needs of individual members!

Only Fedhealth gives you the ability to structure your medical aid, have excellent benefits and control how much you pay.

There are 4 core plans to choose from) that provide you with in-hospital benefits, chronic benefits, screening benefits day-to-day benefits and additional benefits.

All core benefit bundles come pre-packed with value-added benefits paid from Risk, not from savings.

  1. First, choose a flexiFed plan.
  2. Next, decide if you want a discounted premium.
  3. Last, choose the type of day-to-day savings fund that you prefer.


WHICH PLAN THAT BEST SUITS YOUR NEEDS?

flexiFED 1 - For young people who are single, in a relationship or just married. An affordable hospital plan with day-to-day savings that gives you solid medical aid cover at a great price.

  • Unlimited network hospitalisation.
  • Unlimited maternity cover at cost with network GPs and specialists.
  • 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.
  • Unlimited cover for 26 chronic diseases as listed on the Chronic Disease List (CDL).
  • Includes the tests and healthcare assessments that ensure that your health is on the right track.
  • Savings for day-to-day costs.
  • Safety net when savings used and claims add up to a certain amount of unlimited GP visits at nominated network GPs and preventative dentistry benefit at a contracted dentist including x-rays, scaling and polishing.

flexiFED 2 - Perfect family hospital plan and savings option if you’re just starting your parenting journey, with generous maternity and childhood benefits to give you extra peace of mind.

  • Unlimited network hospitalisation.
  • Unlimited maternity cover at cost with network GPs and specialists.
  • 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 of R290 400.
  • Childhood illness specialised drug benefit for children up to 18.
  • Unlimited cover for 26 chronic diseases as listed on the Chronic Disease List (CDL).
  • Includes the tests and healthcare assessments that ensure that your health is on the right track.
  • Savings for day-to-day costs.
  • Safety net when savings used and claims add up to a certain amount of unlimited GP visits at nominated network GPs and preventative dentistry benefit at a contracted dentist including x-rays, scaling and polishing.

flexiFED 3 - Ideal for growing families, with generous maternity and comprehensive childhood benefits to take care of your precious bunch.

  • Unlimited network hospitalisation.
  • Unlimited maternity cover at cost with network GPs and specialists.
  • Private ward for delivery.
  • 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 of R290 400.
  • Childhood illness specialised drug benefit for children up to 18.
  • Unlimited cover for 26 chronic diseases as listed on the Chronic Disease List (CDL). Includes attention deficit hyperactivity disorder, depression, generalised anxiety disorder and post-traumatic stress disorder as well as Eczema, acne, allergic rhinitis for children up to the age of 18.
  • Includes the tests and healthcare assessments that ensure that your health is on the right track.
  • Savings for day-to-day costs.
  • Safety net when savings used and claims add up to a certain amount. Comprises of unlimited GP visits at nominated network GPs and preventative dentistry benefit at a contracted dentist including x-rays, scaling and polishing.

flexiFED 4 - Provides solid medical aid cover for more mature families whose kids are no longer toddling about.

  • Unlimited network hospitalisation.
  • Unlimited maternity cover at cost with network GPs and specialists.
  • 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 of R464 700.
  • Childhood illness specialised drug benefit for children up to 18.
  • Unlimited cover for 26 chronic diseases PLUS an additional 16 as listed on the Chronic Disease List (CDL) including eczema and acne for children.
  • Includes the tests and healthcare assessments that ensure that your health is on the right track.
  • Savings for day-to-day costs.
  • Safety net when savings used and claims add up to a certain amount. Claims will be paid, with a 20% co-payment except claims for network specialists.
  • You’ll enjoy unlimited GP visits from R1 on this option!


DO YOU WANT A DISCOUNTED PREMIUM?

fedhealth medical aidAll plans (except flexiFED 1) cover hospitalisation at any hospital.

The ANY HOSPITAL flexiFED plan offers no additional discounted premium.

The GRID plans offer an full cover if you use listed hospitals for planned procedures (outside of an emergency).
There is an 11% premium discount for joining this option.

The ELECT plans offer full cover at any private hospital with a R 12,500 fixed excess for planned procedures.
Nothing for emergencies. This excess may be on top of the standard claim shortfalls and co-payments each plan carries.
There is a 25% discount when joining this option!

TIP: Join the ELECT plans AND you join a Top Up plan.
You will save premiums over the Any Hospital plan - and have the excess, possible fee shortfalls and procedure co-payments paid!

This is a no-brainer to join!


CHOOSE HOW TO USE AND CONTROL YOUR DAY-TO-DAY SAVINGS FUND.

fedhealth flexible medical aid plan
Medical aids have a fund from which you pay all day-to-day costs.

They provide a pre-determined amount of money, for you to pay your out of hospital costs and you immediately start repaying that over 12-months. A portion is added to your premium.

So, the savings account within a medical aid is really a “compulsory loan”, as from the start and you are forced to repay savings whether you use them or not! You have no choice.

Fedhealth feel this is wrong and offer you a revolutionary way to pay for your day-to-day benefits!

Like all medical aids, you are allocated an amount of money for your day-to-day medical expenses.
BUT, only when you pay costs from this fund do you start to repay those amounts, interest-free, over 12 months or less if you want to!

Now that you have the ability to pay back only what day-to-day savings you have used, (and not a full repayment of the amount as with other medical aids), you will reduce your total medical aid costs.
It is that simple.

This is what makes the Fedhealth a game changer.
Why should you pay for something you haven’t used yet?

If you do not use any of your day-to-day savings, you essentially have a hospital only benefit plan (with a lower premium than a comprehensive plan) and a safety net that gives you access to instant and substantial funds to pay for unforeseen, day-to-day costs!

If you want the familiarity and simplicity of a typical medical aid, you can have the identical plan, but with a traditional day-to-day savings fund!

Only with Fedhealth can you meet all the FACTS mentioned above!


CHOOSING WHICH SAVINGS ACCOUNT TYPE - FLEXIBLE OR FIXED?

fedhealth flexible medical aid plan
The total premium you pay every month, is made up of two parts - your hospital/risk cover and your contribution for day-to-day benefits.

Medical aids do NOT allow you to reduce your premiums - EXCEPT FEDHEALTH!

With flexiFED, the amount of savings you spend and repay, is voluntary and at your discretion! This is the only way you can control a medical aid premium!

You have the ability to decide just how much you want to spend on your medical aid.
You choose the amount of day-to-day funds you want to use and only repay that portion, over 12-months interest-free, when you spend it.

If you do not use your savings, you reduce your premium!
Yet you can keep savings there for when you do need it!
Again, why keep on paying for a benefit that you don’t immediately need?

Fedhealth makes your medical aid an affordable hospital plan, (the most important reason to have a medical aid in the first place), but with the safety net of day-to-day savings - that you control - in case of unforeseen treatments.

If you are prepared to have control, run your savings account as you wish and have the opportunity of reduced premiums, then the FLEXIBLE repayment structure is for you!

If you want a traditional medical aid, then the FIXED repayment structure is for you.

fedhealth flexible medical aid planThe FLEXIBLE repayment option.

You don’t pay for day-to-day benefits until you use them.

When you pay costs from your savings, you then repay that amount spent - over the next 12-months (or less if you want to) - until the amount you spend is repaid.

That small payment is added to your next premium and once the amount is repaid, your premium then drops down to only paying for the “risk” portion of your plan!

YOU don’t pay for day-to-day benefits until you use them. This could save you thousands over a year!

  • You pay less without compromising the quality of your cover.
  • You are in full control over how much you pay for your medical aid.
  • You will have one debit order each month – made up of your Risk/Hospital cover contribution and your MediVault repayments.

Concerns:

  • Your monthly premium can change with your use of the savings.
  • You have to make the transfer of funds when you need them.
  • Unused funds do transfer to your next year.

fedhealth fixed medical aid planThe FIXED repayment option.

If you prefer the simplicity and familiarity of the traditional medical aid.

This works the same way as all South African medical aid savings funds work.

  • Your full annual saving allocation is ready for use from the start.
  • Your premium, remains the same throughout the year.
  • You know how much you have in your fund for the year.
  • You will have one debit order each month.

Concerns:

  • Your initial monthly premium is higher, because you immediately start repaying the savings.
  • You have to repay the entire savings amount allocated to you, whether you use it or not.
  • Unused funds do transfer to your next year.

The amount of savings in the FLEXIBLE option is greater than that in the FIXED option.
This is especially important to those who run out of the “traditional” savings during the year, as you can switch to the Flexible plan (with its higher savings allocation) at anytime!

No other medical aid offers this ability to "extend" the buying power of your savings!

Only Fedhealth allows you to upgrade your plan at any time!
So, you don’t even have to join an expensive, high benefit plan today.
Join a lower option - safe in the knowledge that should you suffer a life-changing event, you can upgrade to a plan that will help you when you need it.

Buy the cover you need now, not on a “what if in the future” basis like with other schemes!
Now you really control what your healthcare cover costs.


SUMMARY ON CREATING YOUR MEDICAL AID WITH FEDHEALTH.

  1. Choose how much hospital cover - The Life Stage Plan Choice

    This is the foundation of your plan and has 4 plan options as in SECTION 1 above.
    (You can upgrade your option at any stage should you suffer a life-changing event like pregnancy or dread disease diagnosis.)

    Choose what cover you need (and will pay for) today and not based on what might happen in the future - like you have to do with other schemes!

    All plans pay these listed benefits, meaning your savings will last longer:

    • unlimited network GP visits.
    • 7-days take home medicines.
    • specialised radiology.
    • female contraceptives
    • pay for only 3 children
    • child rates up to age 27.
    • trauma casualty.
    • 30-days post hospital treatment.

  2. Choose your premium discount

    There are 3 variants to consider using:

    • ANY hospital with standard premiums
    • GRID Network Hospitals with an 11% premium discount
    • ELECT any hospital and a set elective surgery excess with a 25% premium discount.

    Make the most of the GRID and ELECT plans by joining a Top Up plan, which will pay shortfalls and co-payments on these plans.


  3. Choose a savings fund repayment option

    If you accept a little extra admin when using your day-to-day savings, you can reduce your premium even more by choosing the FLEXIBLE option which gives you full control and flexibility in managing your costs.

    OR, if you prefer to have Fedhealth do the savings administration and have the certainty of what funds are available at any time, along with your monthly premium you pay then choose the FIXED option.

    TO SUMMARISE THE FLEXIBLE OPTION SAVINGS METHOD...

    You only start repaying the savings when you spend them!

    So, your next premium will rise by 1/12 of the amount you spent. This continues for a year till that amount is paid back, interest free. Spend nothing and your premium remains low!
    This method has a substantially higher savings allocation.

    If the Flexible plan is a concern, then consider the standard Fixed plan – which works like other medical aids – where you have a set premium, irrespective of the savings you spend.

    I am here to help you decide AT NO ADDITIONAL COST! Fedhealth pay me a fee to help you join.
    Let's see just what you can save on your medical aid costs.


    top upPrivate provider fees are not regulated and many can charge up to 500% of the medical scheme rates!

    Some plans pay claims at 200% or 300% of medical aid rates, offering you a lower claim shortfall, but these are more expensive.

    Increasingly, plans also have procedure co-payments, which you have to fund.

    You are strongly advised to consider a GAP or TOP UP insurance plan to address these threats.

    This separate insurance plan will cover most in-hospital claim shortfalls and scheme co-payments.

    By adding a Top Up plan you can improve your medical aid benefits, so-much-so, that you can even consider joining a lower cost/benefit plan - with a lower premium - and still have an excellent, no risk medical aid for virtually the same premium as the higher medical aid!

    So for goodness sake use my services!

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It’s your time to get answers and start keeping your hard-earned money!

ASK “WHY?”

Then ask yourself why you haven’t switched to Fedhealth yet?

TALK TO ME .... I am here to help you - AT NO CHARGE!
Send me your questions and concerns. I'll answer them for you.

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Last update:May 6, 2021

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