What makes Fedhealth different?

I’m not going to lie, I’m with Discovery Health.

I’ve been with them for years, I’ve never had any bad experiences with them, they’re an excellent medical aid scheme, the cost suits my pocket, and honestly, it’s a schlep to move.

But at the same time I’ve heard only good things about Fedhealth from people on the scheme, and they do offer a few interesting benefits which we’ll discuss below, but first…

Four ‘stating the obvious’ facts about medical aid:

  • Everyone needs one
  • We all hate paying for it (just like home insurance) until the day we need it
  • It’s not something you can put off till you’re old and sickly to join because of late joiner penalties and waiting periods,
  • Jumping from one medical aid to another is risky for two reasons. One, because of potential waiting periods, and two, uncertainty about what you’ll get for your money at the new company.

So basically, join an affordable medical aid, and stick with them unless you have a bad claims experience. Think about moving only if they become unaffordable or if you find out they’re no longer value for money. By that I mean the cost is going up but the benefits are shrinking.

This brings us to three groups of people

  • The person who can’t afford to make a mistake because they use their medical aid often. They need to know that if they end up in hospital, their bills are going to be paid.
  • The person who can’t afford to make a mistake because they hardly ever use their medical aid. They don’t want to waste money on benefits they seldom use.
  • The person who can’t afford to make a mistake because they might just use their medical aid often, but who also can’t afford to waste money on a medical aid they might never use.

It’s this third group of people who should consider Fedhealth.

This is what make Fedhealth unique:

Unlimited GP visits to network FP’s (Fedhealth Providers) with none of the cost coming from your savings on their comprehensive options.
Hang on a moment!” I hear you say. “My medical aid does the same thing.
But do they do that before – or after – you’ve exhausted all your own savings?
Fedhealth is saying, “Keep your savings, we’ll pay for it IF you use on our networked GP’s.

I happen to think that’s kind of nice of them, don’t you?

Your children pay child rates even if they’re older than 21 as long as they’re financially dependent on you and younger than 27.
Two requirements in order for this to happen:

  • They must be single, and
  • They can’t be earning more than the maximum social pension which, for 2017 is R1, 520 a month.

So here’s an example using a family of four.

Let’s compare the Discovery Health Classic Saver to the Fedhealth Maxima Basis option. They’re in the same ballpark more or less in terms of cost.

In the first example let’s look at both children being younger than 21.

Discovery Health Classic Saver:

  • Main member – R2, 577 monthly
  • Adult dependant – R2, 029 monthly per person
  • Child dependant – R1, 031 monthly per person
  • Total cost – R6, 668 monthly

Fedhealth Maxima Basis:

  • Main member – R2, 501 monthly
  • Adult dependant – R2, 129 monthly per person
  • Child dependant – R754 monthly per person
  • Total cost – R6, 138 monthly

But here’s what happens when the two children turn 21.

Discovery Health Classic Saver:

  • Main member – R2, 577 monthly
  • Adult dependant – R2, 029 monthly per person
  • Total cost – R8, 664 monthly

Fedhealth Maxima Basis:

  • Main member – R2, 501 monthly
  • Adult dependant – R2, 129 monthly per person
  • Child dependant – R754 monthly per person
  • Total cost – R6, 138 monthly

What would you do with an extra two thousand Rand in your pocket – especially if your kids are both at varsity?

Upgrades to higher options any time of the year within 30 days of diagnosis of a dread disease or life changing event
Try your luck with this at your current medical aid scheme. So basically, only pay for it if you need it.

And then to top it all, there are these benefits

Post hospitalisation treatment for up to 30 days after discharge.
Let’s say you’ve just been discharged from hospital and need some physiotherapy. The next 30 days’ worth of physiotherapy is paid from risk and not your savings. In other words, Fedhealth pays for this.

7 days take home medication after discharge from hospital.
If the hospital you’re being discharged from dispenses the medicine then it gets added onto your hospital account. Nice.

MRI and CT scans are always paid from risk and never from savings.
It doesn’t matter whether the scan is done in or out of hospital. Some schemes will charge a co-payment to have these scans done.
This benefit doesn’t apply to the Fedhealth Blue Door Plus option and it does require pre-authorisation 48 hours beforehand.

Trauma treatment at a casualty ward is paid from risk.
Most schemes will only pay from risk if you get admitted to hospital. No admittance, no pay.

Monthly prescription for all forms of female contraception paid for on their comprehensive plans.
You name it – oral, patches, contraceptive rings (not sure whether they’re talking about wedding rings here?), certain injectables as well as IUD’s – are all covered.
Oral contraception is covered on their hospital plans – Maxima Core and Maxima EntryZone – as well as on their Blue Door Plus option.

So what is Fedhealth bringing to the table?

We’re going to run through each of the Fedhealth plans one by one. This article is just about you getting an idea of what’s on offer.

  • So first off you need to know that Fedhealth offers 12 plans in 2017
  • The 12 plans are broken down into 3 major plan groups
  • The lowest plan type is the Blue Door Plus option aimed at the lower income employee who has never been on a medical aid before
  • The next step up is the Maxima options which is broken down into 4 tiers
  • The first Maxima tier is the hospital plans consisting of two plans – the Maxima EntryZone and the Maxima Core
  • The second Maxima tier are the plans with savings consisting of four plans – the Maxima EntrySaver, the Maxima Saver, the Maxima Basis, and the Maxima Advanced option
  • The third Maxima tier is the comprehensive plans consisting of four plans – the Maxima StandardElect, the Maxima Standard, the Maxima Exec, and the Maxima Plus.
  • The ultimate step up is their Ultimax option.

We’re also including a handy Excel spreadsheet which will give you an idea of cost for your family.

You can download it here at Fedhealth 2017.

Once you open the sheet, simply enter the number of adult and child dependents in the two yellow blocks at the top left hand corner. You can then check the cost across all Fedhealth plan types. I’d suggest you download the spreadsheet and work out what’s affordable for you and your family.

Then in the coming weeks we’re going to go into much more detail on each of the Fedhealth plans. At that stage you’ll be able to make up your own mind as to which plan best suits you.

Of course, if you’re in a hurry you’re more than welcome to contact Fedhealth right now.

We’ve made it simple by including a contact form below.

Until next time.

The InsuranceFundi Team

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7 thoughts on “FEDHEALTH 2017 – PART ONE

  1. I was a satisfied member of Fedhealth Medical Scheme before I changed the province where I was working.Is it possible to change from Gems to Fedhealth,will I get subsidy from government,my employer?

    • HI Lindiwe,

      I don’t think you’ll still get the subsidy, but it’s best to check with your HR department.

  2. Please lt me know what fedhealth offers in the way of a hospital plan for 3 adults. Will this plan also cover chronic medicine the same as discovery coastal core.

    • HI Charles,

      I’d suggest asking Fedhealth directly if you’re in a hurry. We’re in the process of writing the various articles on each of their products. They have a number of different plan options with different levels of chronic benefits. Discovery Health Coastal Core is a basic hospital plan so I’m certain that Fedhealth will offer similar chronic benefits. But its best to check your particular condition with them

    • Hi Angela,

      It depends on two things:
      whether you’ve had a break of longer than 90 days between leaving your previous scheme, and joining Fedhealth, and
      whether you’ve been a member of one or more schemes for at least 24 months prior to joining Fedhealth.

      If you fail these tests then waiting periods can be applied.

  3. Hi

    i have polio on my left leg and are using a full lenght leg support ( caliper) most medical aids does not realy pay for this and yet i cannot walk or function without it,