Hippo Partners - Fedhealth

Fedhealth

Fedhealth provides cover for approximately 140 000 lives and offers a choice of 15 plans. Premiums for a single member range from R776 to R9215 and the Maxima Standard is the most popular option. All options offer some preventative care benefits.

Options:

Ultimax
Ultimax is suited for individuals requiring extensive medical cover.
It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 300%.
Day to day claims are paid from savings, then from a risk benefit. Thereafter, a self payment gap applies and then claims are paid from the above threshold benefit.

Maxima Plus
Maxima Plus is suited for individuals requiring extensive medical cover.
It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 200%...
Day to day claims are paid from savings, then from a risk benefit. Thereafter, a self payment gap applies and then claims are paid from the above threshold benefit.

Maxima Exec
Maxima Exec is suited for individuals requiring extensive medical cover.
It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of in-hospital procedures.
Day to day claims are paid from savings, then from a risk benefit. Thereafter, a self payment gap applies and then claims are paid from the above threshold benefit.

Maxima Standard / Standard-Elect
Maxima Standard is suitable for young, healthy families and individuals.
It offers unlimited hospital cover at a hospital of choice or if selecting the Maxima Standard-Elect, through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of in-hospital procedures.
Day to day claims are paid from savings, then from a risk benefit. Thereafter, a self payment gap applies and then claims are paid from the above threshold benefit.

Maxima Advanced
Maxima Advanced will suit young healthy individuals.
It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of in-hospital procedures.
Day to day claims are paid from savings.

Maxima Basis / Basis GRID
Maxima Basis is suitable for young, healthy families and individuals.
It offers unlimited hospital cover at a hospital of choice or if selecting the GRID option, through a hospital network, with in-hospital specialist bills paid at 100%.
Co-payments are applied to a comprehensive list of in-hospital.
Day to day claims are paid from savings with a separate benefit available for optometry.

Maxima Saver / Saver GRID
Maxima Saver is suitable for young, healthy families and individuals.
It offers unlimited hospital cover at a hospital of choice or if selecting the GRID option, through a hospital network, with in-hospital specialist bills paid at 100%.
Co-payments are applied to a comprehensive list of in-hospital.
Day to day claims are paid from savings.

Maxima EntrySaver
Maxima EntrySaver is suitable for young, healthy families and individuals.
It offers unlimited hospital cover through a network of hospitals, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of in-hospital procedures.
Day to day claims are paid from savings.

Maxima Core / Core GRID
Maxima Core is suitable for young, healthy individuals.
It offers unlimited hospital cover at a hospital of choice or if selecting the GRID option, through a hospital network, with in-hospital specialist bills paid at 100%.
Co-payments are applied to a comprehensive list of in-hospital procedures.
Apart from some preventative care benefits and specialised radiology, no other cover for day to day claims is provided.

Maxima EntryZone
Maxima EntryZone is suitable for young, healthy individuals.
It offers unlimited hospital cover through a network of hospitals, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of in-hospital procedures.
Apart from some preventative care benefits and specialised radiology, no other cover for day to day claims is provided.

Blue Door Plus
BlueDoor is an entry level capitated network plan which is affordable and ideal for low earning individuals.
All treatments are subject to provider network protocols.


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