We hold Fedhealth’s 2027 contributions; its 2027 benefit rules are not in our records yet. Each row shows the 2026 rule, marked.
Benefits in force for 2026.
In hospital
Hospitals
2027 not in our records yet. 2026: Any hospital
(2026)
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
Fedhealth maxima EXEC Individual Option brochure 2026, p14
Specialists in hospital
2027 not in our records yet. 2026: 100% of Scheme tariff. A specialist who charges more leaves a shortfall.
Fedhealth maxima EXEC Individual Option brochure 2026, p14 (2026)
Private ward
Not covered.
Fedhealth catalogue in hospital cover
Private ward
2027 not in our records yet. 2026: Not covered.
Fedhealth catalogue in hospital cover (2026)
Chronic and cancer
Chronic conditions
45 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
Chronic conditions
2027 not in our records yet. 2026: 45 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
(2026)
Cancer
Up to R514 570 a year.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p15
Cancer
2027 not in our records yet. 2026: Up to R514 570 a year.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p15 (2026)
Day to day
Medical savings account
0% of your contribution goes into a savings account for day-to-day costs.
Medical savings account
2027 not in our records yet. 2026: 0% of your contribution goes into a savings account for day-to-day costs.
(2026)
Maternity
Fedhealth Baby Programme, paid from the scheme’s risk benefits, not savings.
Fedhealth maxima EXEC Individual Option brochure 2026, pMaternity and childhood p10
Maternity
2027 not in our records yet. 2026: Fedhealth Baby Programme, paid from the scheme’s risk benefits, not savings.
Fedhealth maxima EXEC Individual Option brochure 2026, pMaternity and childhood p10 (2026)
Children on the plan
As dependants up to age 27.
Children on the plan
2027 not in our records yet. 2026: As dependants up to age 27.
(2026)
GP visits
On flexiFED 4GRID and flexiFED 4Elect you enjoy unlimited nominated network GP consultations from day one.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p26
GP visits
2027 not in our records yet. 2026: On flexiFED 4GRID and flexiFED 4Elect you enjoy unlimited nominated network GP consultations from day one.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p26 (2026)
Specialist visits
Network medical specialist consultations and visits (excluding psychiatrists): Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Specialist visits
2027 not in our records yet. 2026: Network medical specialist consultations and visits (excluding psychiatrists): Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7 (2026)
Prescribed medicine (acute)
Acute medicine — Paid from savings and available D2D+ benefits. (claims paid from D2D+ will not accumulate)
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Prescribed medicine (acute)
2027 not in our records yet. 2026: Acute medicine — Paid from savings and available D2D+ benefits. (claims paid from D2D+ will not accumulate)
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8 (2026)
Basic dentistry
Basic dentistry: Paid from savings or paid from available D2D+ benefits. Once Threshold level has been reached: 2 annual consultations per beneficiary incl. x-rays, scaling and polishing, fillings and extractions. Subject to contracted dentists and approved procedures.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Basic dentistry
2027 not in our records yet. 2026: Basic dentistry: Paid from savings or paid from available D2D+ benefits. Once Threshold level has been reached: 2 annual consultations per beneficiary incl. x-rays, scaling and polishing, fillings and extractions. Subject to contracted dentists and approved procedures.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7 (2026)
Eyes (optometry)
Optical benefit — Spectacle lenses, frames and/or lens enhancements: Paid from savings. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Eyes (optometry)
2027 not in our records yet. 2026: Optical benefit — Spectacle lenses, frames and/or lens enhancements: Paid from savings. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8 (2026)
Basic X-rays
General radiology — Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Basic X-rays
2027 not in our records yet. 2026: General radiology — Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8 (2026)
Blood tests (pathology)
Pathology and medical technology — Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Blood tests (pathology)
2027 not in our records yet. 2026: Pathology and medical technology — Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8 (2026)
Full benefit list
Every benefit we hold for flexiFED 4Elect (Savings), in Fedhealth’s own wording, from its 2026 documents. Fedhealth’s full 2027 list is not in our records yet.
In hospital
Cancer treatment
On flexiFED 4, oncology is covered up to R514 570 per family per year at the designated service provider, ICON, subject to Essential protocols.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p15
Hospital stay and theatre
Accommodation, use of operating theatres and hospital equipment, medicine, pharmaceuticals and surgical items — Unlimited at any hospital.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p19
Day procedures
R2 710 co-payment on voluntary use of non-network day surgery facilities. flexiFED 4GRID: 30% co-payment on voluntary use of non-network hospitals and non-network mental health facilities. flexiFED 4Elect: R15 950 excess on all hospital admissions except emergency admissions.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p19
Surgery and anaesthetics
Specialists and GPs on the Fedhealth network are covered in full. Specialists and GPs not on the Fedhealth network are covered up to the Fedhealth Rate.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p18
Planned PMB procedures
To have treatment for PMB conditions covered in full, use Fedhealth Network GPs, Specialists, Hospitals and DSPs where applicable. Otherwise the Scheme refunds treatment up to the Fedhealth Rate and a co-payment applies if the provider charges more.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p19
Organ and stem cell transplants
Organ tissue and haemopoietic stem cell (bone marrow) transplantation, immunosuppressive medication, post-transplantation biopsies — R321 570.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p20
Dialysis
Chronic renal dialysis — Haemodialysis and peritoneal dialysis, radiology and pathology, consultations, visits, all services, materials and medicine. R321 570 per family per year; DSP required, else 40% co-payment.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p20
Mental health admissions
Psychiatric hospitalisation: R27 220 per family. Up to 21 days of admission or up to 15 out-of-hospital consultations per beneficiary for major affective disorders.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p14
Birth (in hospital)
Not covered. Maternity confinement: Unlimited. Accommodation in a general ward, high care and intensive care unit, theatre fees, medicine, material and hospital apparatus. Private ward cover: No benefit. Delivery by Fedhealth Network GPs and specialists: Covered in full; non-network up to the Fedhealth Rate.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p19
MRI, CT and PET scans
MRI and CT scans: in and out of hospital unlimited; first R3 050 for non-PMB scans for the member's account. Oncology PET and PET/CT scans: 2 per family per annum at DSP, R5 670 co-payment for non-DSP.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p20
Internal prostheses
Prostheses and devices (internal) — combined benefit limit for all unlisted internal prostheses up to R321 570.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p20
Medicine on discharge
We cover 7 days' supply of take-home (discharge) medication, to a maximum of R412 per beneficiary per admission.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p19
Step-down and sub-acute care
Sub-acute facilities and physical rehabilitation facilities — covered subject to pre-authorisation, as an alternative to acute hospitalisation.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p19
Travel cover
Emergency Medical Benefit: Europ Assistance — cover of R5 million per person per journey (up to 45 days) for emergency medical treatment while travelling abroad.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p11
HIV/AIDS
HIV/AIDS covered as a Chronic Disease List (CDL) PMB condition — unlimited at PMB level of care on the HIV management programme; antiretroviral medication via DSP.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p13
Day to day
GP visits
On flexiFED 4GRID and flexiFED 4Elect you enjoy unlimited nominated network GP consultations from day one.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p26
GP visits
Non-network GP: Pre Threshold paid from savings or available D2D+ benefits. In Threshold: Limit of 2 consults with an out-of-network or non-nominated GP per beneficiary paid from Threshold. Thereafter paid from savings.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Specialist visits
Network medical specialist consultations and visits (excluding psychiatrists): Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Specialist visits
Non-network medical specialist consultations and visits (excluding psychiatrists): Paid from savings at cost or from available D2D+ benefits at scheme rate. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Basic dentistry
Basic dentistry: Paid from savings or paid from available D2D+ benefits. Once Threshold level has been reached: 2 annual consultations per beneficiary incl. x-rays, scaling and polishing, fillings and extractions. Subject to contracted dentists and approved procedures.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Specialised dentistry
Advanced dentistry (inlays, crowns, bridges, dentures, orthodontics, oral surgery, osseo-integrated implants): Paid from savings. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Auxiliary services
Additional medical services (audiology, dietetics, genetic counselling, hearing aid acoustics, occupational therapy, orthoptics, podiatry, private nursing, psychologists, social workers, speech therapy): Paid from savings. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Alternative healthcare
Alternative healthcare (acupuncture, homeopathy, naturopathy, osteopathy, phytotherapy incl. prescribed medication): Paid from savings. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Eyes (optometry)
Optical benefit — Spectacle lenses, frames and/or lens enhancements: Paid from savings. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Medical appliances
Not covered. Appliances, external accessories and orthotics (hearing aids incl. repairs, wheelchairs, glucometers, CPAP, foot orthotics): Paid from day-to-day or self-funded, accumulates to Threshold. Stoma products, oxygen therapy, home ventilators, long leg callipers: Unlimited subject to authorisation. Moon boots: R2 060 per beneficiary from Risk.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p20
Casualty visits
Trauma treatment covered unlimited up to the Fedhealth Rate. Authorisation must be obtained within 48 hours and a co-payment of R880 per visit for non-PMBs applies.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Chronic medicine (Chronic Disease List)
Unlimited cover for the Prescribed Minimum Benefit conditions on the Chronic Disease List (CDL). Basic/restrictive formulary or a 30% co-payment for non-formulary medication. Scriptpharm Network Pharmacies, 30% co-payment for non-DSP.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p13
Chronic medicine (other conditions)
Additional condition covered beyond the CDL: Depression. Depression medication: R2 400 per beneficiary per annum subject to an approved list of medication.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p14
Psychologist and counselling visits
Two virtual mental health consultations per beneficiary at a nominated provider once threshold has been reached. Unlimited mental health consults in- or out-of-network pre-Threshold (self-funded).
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p11
Contraceptives
Certain oral and injectable female contraceptives covered from Risk.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p6
Care after a hospital stay
30-day post-hospitalisation benefit: follow-up treatment paid from Risk for up to 30 days after discharge (physiotherapy, occupational therapy, speech therapy, ultrasounds, general radiology and pathology).
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p11
Prescribed medicine (acute)
Acute medicine — Paid from savings and available D2D+ benefits. (claims paid from D2D+ will not accumulate)
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Hearing aids
Hearing aids including repairs — Paid from day-to-day or self-funded. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p20
Maternity care (out of hospital)
Maternity benefits: antenatal/postnatal consultations with a midwife, network GP or gynaecologist; 2D antenatal scans; antenatal classes; doula benefit; postnatal midwifery; Baby Programme from the 12th week of pregnancy.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p17
Over-the-counter medicine
On flexiFED 4 savings plans, day-to-day expenses are paid from the member's available Fedhealth Savings and available D2D+ benefits.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p7
Blood tests (pathology)
Pathology and medical technology — Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Physiotherapy and other therapists
Physical therapy (chiropractics, biokinetics and physiotherapy) — Paid from savings. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Basic X-rays
General radiology — Paid from savings and available D2D+ benefits. Accumulates at cost to Threshold level.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
MRI, CT and PET scans
Specialised radiology — Unlimited at Fedhealth Rate. First R3 050 for non-PMB MRI/CT scans for the member's account.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p8
Procedures in the doctor’s rooms
Selected procedures in day wards, day clinics and doctor's rooms on the Fedhealth Day Surgery Network. Members must use facilities on the Fedhealth Day Surgery Network to avoid a R2 710 co-payment.
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p18
Screening and prevention
Screening and prevention
Screening & wellness benefit: age- and gender-specific screenings aimed to promote early detection and healthier living (flu vaccine, HIV finger prick, cancer screenings, etc.).
Fedhealth flexiFED 4 Savings Plan Individual Option brochure 2026, p11