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Why You Need to Look at Fedhealth Medical Aid

Looking for a medical aid that suits your needs and budget is not easy! With little medical aid innovation most schemes offer a one-size-fits-all solution.

Fedhealth medical scheme is different and offers the 4 following answers to some of the biggest medical aid problems:

1. Day-to-Day Savings

Day-to-day savings are a significant part of a medical aid, paying for costs like GP visits, glasses, and chemist.
Generally, 25% of your monthly premium is directed into a savings account just for this purpose.

However, most schemes lock you into savings funds and you have no say in how the are controlled.
You have an amount available for the year and once it is spent, you self-fund further expenses.
Some (more expensive) plans have a safety net (known as an Above Threshold Benefit), whereby, once your claims add up to a pre-determined amount, they pay certain costs to the end of that year

If you do not spend all your savings, although they roll over to the following year, they are locked into your medical aid and cannot be used for other needs.

Fedhealth has created a completely unique day-to-day repayment structure for their members

• Hospital plan with optional out-of-hospital savings as a safety net.
  Unique to Fedhealth, you have a predetermined amount of savings available, but until you start spending it, you do not pay for it!
  This is unlike any other medical aid where you immediately repay the savings whether you spend them or not!

  When you spend from your savings account, you only repay the amount that you spend over the next 12 interest-free months.
  That portion is added to your next and following premiums until it is repaid, whereupon your premium drops down to that of a hospital plan.

• Comprehensive medical aid - works exactly like any other medical aid with in and out-of-hospital benefits. You have an annual amount in a savings fund to help pay for expenses and you repay a portion of those savings monthly, as part of your premium, whether you spend it or not.

Yes, Fedhealth gives unrivalled control, choice, and flexibility over what you use and what you pay.

2. Network Plans with Full Benefits

Network plans are a common way to save on premiums, but while you save on premiums, they can be restrictive.

Network options mean that you are restricted to only using contracted hospitals within the scheme's “network” of hospitals for planned procedures (not accidents or emergencies).
And because you using certain hospitals, your premium is less.

Fedhealth also offers network options called GRID plans, and the premium is 10% less than the same non-network option, but the benefits are identical!

Fedhealth has Comprehensive the network option problem by offering you access to over 120 world-class network hospitals at a 10% discounted premium without losing any benefits.

3. Why Do Healthy Members Pay the Same Premium, yet they have Lower Claims?

Medical aids receive premiums from members, which are added to a pool of money.
When members claim for hospital or other events paid by the scheme, they are paid from this pool of money.

The problem is that if you are young and/or healthy, you pay the same premium as a more mature member who may need hip or knee replacements.

You are paying the same amount of premium, but not claiming anywhere near as much as a mature member.
That is not fair!

Fedhealth agrees that you should be paying less, so they have designed the ELECT plans to answer this problem.

You get the same benefits as all the plans, but pay 25% less in premium.

If you need planned hospitalisation (not emergency or accident admissions), you pay a R 15, 470 excess on that admission, like your car insurance.
And if you join a Gap/Top up plan—which every medical aid member should—that should pay the excess for you!

4. Are You Joining the Right Plan?

Most medical aids only allow upgrades and downgrades of a plan at year-end.

The problem is: what if you need higher benefits than what your plan offers, now?
No one knows what medical conditions may happen tomorrow, let alone in a year’s time.

So, most members choose a plan based upon a "what if" situation, and that is always more expensive.

Only Fedhealth allows you to upgrade at any time of the year, within 30 days of a life-changing event like pregnancy or a serious illness diagnosis.

So, you can join a lower benefit and cheaper plan—that meets your needs today—whilst enjoying the security that you can upgrade to an option, with better benefits, at any time of the year!

Now, do you want to look at Fedhealth?

How to Create Your Ideal Fedhealth Medical Aid

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