4 Reasons to Consider Fedhealth Medical Aid

Why You Need to Look at Fedhealth Medical Aid

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

1. Paying for Out of Hospital Expenses - Day-to-Day Saving Funds

Certain plans have a safety net whereby, once your claims add up to a predetermined amount, they pay certain costs to the end of that year.
This is known as an Above Threshold Benefit.

The problem is that you have very little say in how your day-to-day savings are structured and how the medical aid pays claims.
It is incredibly rigid—whether you need more or less savings than what you are given, you have no say in the matter.
If your savings are too low, “tough luck”.
If your savings are too high and you do not spend them in a year, your money is locked up in the plan and you cannot use it in any other way.

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

• Hospital only plan and self-pay out of hospital costs
  Choose from any flexiFED plan option and choose to have no savings fund.
  You have a plan with excellent in-hospital benefits—unmatched by any other medical aid—with a lower premium as you are not funding a savings account.
  However, should you suddenly need money for out of hospital costs, you can immediately switch to a Hospital and optional savings plan.
• Hospital plan with optional out of hospital savings
  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.
• Comprehensive medical aid - works exactly like any other medical aid with in and out of hospital benefits.
  You repay a portion of your savings account, as part of your premium, whether you spend it or not.
  You have unrivalled control, choice, and flexibility over what you use and what you pay with Fedhealth.

2. Network Plans

The problem is that this is not always what happens.

What is not fair is that most schemes not only restrict the number of hospitals you can use, but they also cut down on the quality of the in-hospital benefits.
Some schemes even exclude some benefits entirely or give you a much lower limit when compared to the other non-network options.
If they are restricting the hospitals you can use, why are they then also cutting your benefits?

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!

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

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 every plan offers, but pay 25% less in premium.

Fedhealth has answered the “claim less but pay the same problem” with the ELECT option, giving you a 25% premium discount and being willing to pay a excess in the unlikely event you need planned hospitalisation, at any private hospital you want.

4. Joining the Right Plan

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

Most members then choose a plan based upon benefits that will cover them in a “worst-case” situation, which is always more expensive.

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

Now, do you want to look at Fedhealth?

What is the cost?

Private healthcare providers can charge up to 500% of medical scheme rates.
Medical aids add procedure co-payments as well.
These are significant concerns for medical aid members.

Protect yourself against these potential threats, by joining Cura's GAP or top-up insurance plan.
OR Zest GAP or top-up insurance plan.

This separate insurance will cover most in-hospital claim shortfalls and any co-payments. It is a vital safety net, ensuring you have adequate benefits for medical treatments without bearing the full burden of unexpected costs.

Protect yourself from soaring medical expenses by bridging the gap between medical scheme rates and the charges imposed by private providers.

Specialised Dental treatments can be extremely expensive!
The costs of braces, root canal, implants and so on, can run into thousands of rand. Most treatments are done out of hospital, so are funded from your savings. That can result in less money available for other medical needs and family limits being used on one member only!

Dental treatment is something we all need and it is vital you consider the Best Dental Insurance Plan OR Most Affordable Dental Planin South Africa.

No Medical Aid or have a Hospital Plan only? This plan will help you meet the high costs of both normal and specialised dentistry!

Join Fedhealth Medical Aid