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
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
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
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Specialist visits
2027 not in our records yet. 2026: On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Prescribed medicine (acute)
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Prescribed medicine (acute)
2027 not in our records yet. 2026: On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Basic dentistry
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Basic dentistry
2027 not in our records yet. 2026: On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Eyes (optometry)
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Eyes (optometry)
2027 not in our records yet. 2026: On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Basic X-rays
General radiology – Self-funded or paid from Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Basic X-rays
2027 not in our records yet. 2026: General radiology – Self-funded or paid from Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Blood tests (pathology)
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Blood tests (pathology)
2027 not in our records yet. 2026: On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1 (2026)
Full benefit list
Every benefit we hold for flexiFEDSavvy (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 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
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)
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Alternative healthcare
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Medical appliances
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Auxiliary services
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Specialised dentistry
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Basic dentistry
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Hearing aids
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)
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
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Blood tests (pathology)
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
On flexiFEDSavvy the following will be self-funded or paid from available Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
Basic X-rays
General radiology – Self-funded or paid from Savings.
FedHealth FedSavvy2026 - web copy no brochure.docx, p1
MRI, CT and PET scans
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
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
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