At a glance
- Plan type
- Hospital plan
- Hospitals
- Network hospitals
- Hospital and specialists
- 100% of Scheme tariff
- Day-to-day costs
- Your own
- Chronic conditions
- 28
- Cancer
- PMB level of care
- Children you pay for
- Up to 3
- Children on the plan to age
- 27
Fedhealth’s 2027 benefits are not in our records yet. Its 2027 contributions are below.
Monthly contributions
2027 rates take effect on 1 January 2027. 2027 contributions: Fedhealth flexiFED Hospital Plans Rates and Benefits Guide 2027, p6. Its 2027 benefits are not in our records yet. You pay for up to 3 children.
| Member | 2026 | 2027 | Change |
|---|---|---|---|
| Main member | R1 155 | R1 252 | +8.4% |
| Adult dependant | R1 155 | R1 252 | +8.4% |
| Child | R849 | R920 | +8.4% |
Benefits
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
Network hospitals only (flexiFEDSavvy Network)
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Hospitals
2027 not in our records yet. 2026: Network hospitals only (flexiFEDSavvy Network)
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (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)
Chronic and cancer
Chronic conditions
28 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
Chronic conditions
2027 not in our records yet. 2026: 28 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
(2026)
Cancer
Cover at the PMB level of care, through ICON.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Cancer
2027 not in our records yet. 2026: Cover at the PMB level of care, through ICON.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Day to day
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
Unlimited virtual consultations and 3 face-to-face consultations per beneficiary paid from Risk.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
GP visits
2027 not in our records yet. 2026: Unlimited virtual consultations and 3 face-to-face consultations per beneficiary paid from Risk.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Specialist visits
Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Specialist visits
2027 not in our records yet. 2026: Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Prescribed medicine (acute)
Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Prescribed medicine (acute)
2027 not in our records yet. 2026: Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Basic dentistry
Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Basic dentistry
2027 not in our records yet. 2026: Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Eyes (optometry)
Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Eyes (optometry)
2027 not in our records yet. 2026: Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Basic X-rays
Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Basic X-rays
2027 not in our records yet. 2026: Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Blood tests (pathology)
Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Blood tests (pathology)
2027 not in our records yet. 2026: Not covered.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Full benefit list
Every benefit we hold for flexiFEDSavvy (Hospital), 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 flexiFEDSavvy, cancer is covered up to PMB level of care only at a designated service provider, ICON. 25% upfront co-payment if non-DSP.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Day procedures
30% co-payment for non-network planned admissions and non-network mental health; R2 710 non-network day surgery; 15% non-network substance abuse rehabilitation; R880 casualty for non-PMBs.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Birth (in hospital)
Maternity and childhood benefits unlimited up to PMB level of care. Elective C-section co-payment R9 330. Non-network delivery combined limit R2 580.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Mental health admissions
Psychiatric hospitalisation subject to PMB level of care, up to 21 days admission per beneficiary.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Planned PMB procedures
Treatment for PMB conditions covered in full using Fedhealth Network GPs, Specialists, Hospitals and DSPs. In-hospital exclusions: single hip and knee replacements, other joint replacements, total ankle replacement, arthroscopic hip and wrist, corneal grafts, dental admissions, rhizotomies and facet pain blocks.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Hospital stay and theatre
Any authorised hospitalisation at the Hospital Network paid at 100% of the negotiated rate (traumatic/PMB from risk; non-traumatic non-PMB may be funded from the member's savings).
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p16
Surgery and anaesthetics
100% of the negotiated rate at the Hospital Network (PMB level of care at DSPs).
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p16
Organ and stem cell transplants
Organ and haemopoietic stem cell (bone marrow) transplantation and immunosuppressive medication — PMB level of care.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p22
Dialysis
Renal dialysis chronic (D22) — at PMB level of care via contracted managed care.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p15
Internal prostheses
Internal prostheses and devices (auditory brain implants, internal nerve stimulators incl. procedures/devices/processors, and related) — at PMB level of care.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p15
Step-down and sub-acute care
Sub-acute facilities (D7.3.2): limited to PMB level of care.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p17
Palliative care
Terminal Care Benefit (D7.3.3): no benefit, unless PMB level of care.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p17
MRI, CT and PET scans
Specialised radiology (D21): payable from risk, subject to PMB level of care; PET and PET-CT: no benefit unless PMB level of care, subject to the PET Network.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p26
Planned PMB procedures
Hospital admissions require a referral from a contracted GP or Specialist; PMB cover via the Hospital Network.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p20
Mental health admissions
Psychiatric hospitalisation at the Hospital Network; in-hospital subject to activation of B7, unless PMB level of care.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p9
Birth (in hospital)
Confinement in hospital: 100% of the negotiated fee; elective non-PMB caesarean subject to conditions.
Fedhealth Annexure B flexiFED Savvy 2026 CMS approved, p20
HIV/AIDS
HIV/AIDS is managed scheme-wide through the Scheme's HIV infection management programme (Aid for AIDS / AfA) adopted under Main Rule 4.43; the programme applies to all beneficiaries on every option, and members registered on AfA have access to the HIV medicine benefit. HIV/AIDS is a Prescribed Minimum Benefit, so cover is compulsory on this option.
fedhealth medical scheme main rules id 1104844 2026, p7
Day to day
GP visits
Unlimited virtual consultations and 3 face-to-face consultations per beneficiary paid from Risk.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
GP visits
Not covered. Non-network GP: Two consultations per family, subject to the 3 face-to-face visits.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Chronic medicine (Chronic Disease List)
Unlimited cover for CDL conditions. DSP: Clicks Courier, Dis-Chem Courier or Pharmacy Direct; 25% co-payment for non-DSP. Basic formulary or 25% co-payment for non-use.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Chronic medicine (other conditions)
Chronic conditions not on the CDL are not covered. However, from 2026, medication for depression is covered: R2 160 per beneficiary subject to an approved list.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Contraceptives
Certain oral and injectable female contraceptives covered from Risk.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Casualty visits
Unlimited trauma treatment at a casualty ward at the Fedhealth Rate. R880 co-payment per visit for non-PMBs.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Care after a hospital stay
Post-hospitalisation treatment paid from Risk for up to 30 days after discharge (physiotherapy, OT, speech, ultrasounds, general radiology, pathology).
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Psychologist and counselling visits
Two virtual mental health consultations at a nominated provider. 15 out-of-hospital consultations per person for major affective disorders per PMB entitlement.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Prescribed medicine (acute)
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Alternative healthcare
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Medical appliances
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Auxiliary services
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Specialised dentistry
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Basic dentistry
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Hearing aids
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Maternity care (out of hospital)
Maternity and childhood benefits are provided unlimited up to PMB level of care. If planning a pregnancy, flexiFED 1-4 provide more substantial maternity benefits.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Eyes (optometry)
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Over-the-counter medicine
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Blood tests (pathology)
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Physiotherapy and other therapists
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Basic X-rays
Not covered. General radiology – Self-funded or paid from Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
MRI, CT and PET scans
Not covered. Specialised radiology – Self-funded or paid from Savings. Specialised radiology is unlimited at PMB level of care.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Specialist visits
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Procedures in the doctor’s rooms
Not covered. On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Screening and prevention
Screening and prevention
Preventative and screening benefit.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Conditions
The Chronic Disease List conditions are Prescribed Minimum Benefits on every medical aid. How each one works on a medical aid:
- Addison's Disease
- Asthma
- Bipolar Disorder
- Bronchiectasis
- Dysrhythmia
- Heart Failure
- Cardiomyopathy
- COPD
- Chronic Kidney Disease
- Coronary Artery Disease
- Crohn's Disease
- Type 1 Diabetes
- Type 2 Diabetes
- Epilepsy
- Glaucoma
- Haemophilia
- HIV (Human Immunodeficiency Virus)
- High Cholesterol
- Hypertension
- Hypothyroidism
- Multiple Sclerosis
- Parkinson's Disease
- Rheumatoid Arthritis
- Schizophrenia
- Systemic Lupus Erythematosus (SLE)
- Ulcerative Colitis
Fedhealth also names these on flexiFEDSavvy (Hospital)’s 2026 chronic list:
Questions about flexiFEDSavvy (Hospital)
Answered from Fedhealth’s documents.
Who is flexiFEDSavvy (Hospital) for?
In Fedhealth’s own words (Fedhealth flexiFED Hospital Plans Rates and Benefits Guide 2027, p5): “You generally spend very little on day-to-day medical expenses and/or prefer to self-fund these Keep your monthly medical scheme contributions low Our hospital plans come with essential, built-in day-to-day benefits, e.g. screening and wellness benefits You are covered for hospital bills”
How much does flexiFEDSavvy (Hospital) cost in 2027?
From 1 January 2027: R1 252 a month for the main member, R1 252 for an adult dependant and R920 for a child. You pay for up to 3 children.
How much is flexiFEDSavvy (Hospital) going up for 2027?
For the main member, from R1 155 to R1 252 a month, +8.4%.
Does flexiFEDSavvy (Hospital) pay for GP visits and day-to-day costs?
No. flexiFEDSavvy (Hospital) is a hospital plan, so day-to-day costs are your own.
How many chronic conditions does flexiFEDSavvy (Hospital) cover?
28: the 27 on the Chronic Disease List and others the scheme adds.
Is cancer treatment covered?
Yes, at the PMB level of care, through ICON.
Until what age can children stay on as dependants?
Up to age 27.
Will I have a shortfall if my specialist charges more?
flexiFEDSavvy (Hospital) pays specialists in hospital at 100% of the Scheme tariff. If a specialist charges more than that, the difference is a shortfall. Gap cover is the product that pays shortfalls.
Factual information from Fedhealth Medical Scheme’s published documents. It is not advice. Compiled by Eldon de Waal, CFA, the licensed advisor behind AURA. Catalogue v175, built 2026-10-19.