Fedhealth understands the meaning of “health”.
December 21, 2012
The Fedhealth medical scheme is one of the oldest in South Africa. Established as Reef medical scheme in 1936, it has 80 000 members and an annual turnover of over R2 billion. This makes it one of the biggest open medical schemes in the country.
Fedhealth medical Scheme – A financially Stable provider
For the past six years, Fedhealth has maintained an AA Global credit rating for its claim paying ability. It has a solvency rate of 37%, which is well above the required 25%.
There are 4 700 doctors that belong to the Fedhealth Network so that 96% of their members have access to these doctors in a 10km radius of their homes.
Furthermore, 89% of members have access to a pharmacy within the network, also within this same distance from where they live.
The Fedhealth medical scheme has a range of healthcare cover from hospital plans to comprehensive schemes. These are Ultima, Maxima and Blue Door health plans.
Fedhealth medical scheme – Ultima
Ultima caters for older members who need more assistance from their medical scheme. They are usually in a better financial position and can afford to pay the higher rates. With Ultima, the main member pays R5 933. Ultima 300 has the main member paying R4 117 and Ultima 200 is R1 895.
This range is the most popular as it provides cover from basic to comprehensive. The six different Maxima options are:
- Plus – main member R4 341
- Exec – main member R2 558
- Standard – main member R2 055
- Basic – main member R1 668
- Core – main member R1 258
- EntryZone – main member R883
Fedhealth medical scheme – Blue Door
This plan caters for lower income members who have not had previous medical plans. It begins with a salary bracket of less than R4 749 a month, where the main member pays R463. And extends up to members with a salary of more than R11 100 a month, where the main member pays R1 418.
Fedhealth medical scheme – Benefits
Your monthly fees dictate which medical plan you choose but equally important are the healthcare benefits that you get. With Fedhealth, most of the benefits spread across their entire range of schemes. This includes unlimited hospital cover and medical cover for more than 56 chronic conditions.
Other benefits include:
- Dependent children up to the age of 27 can stay on the child rate
- Members can upgrade to a higher plan regardless of the annual deadline
- Extreme sports
- Any medicine that needs to be taken home when you leave the hospital
- Emergency medical transport anywhere in the country
- Post-hospital treatment covered for 30 days after discharge
- A 24-hour Fedhealth nurse line
- Specialised radiology is not paid for with your savings
- Comprehensive HIV/Aids and other disease management programmes
All info was correct at time of publishing