Fedhealth maxima EXEC: 2027 contributions and benefits

At a glance

Plan type: Comprehensive plan
Hospitals: Any private hospital
Hospital and specialists: 100% of Scheme tariff
Savings account: R0 a month for the main member (0%)
Chronic conditions: 72
Cancer: R643 340 a year
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 Executive Plans Rates and Benefits Guide 2027, p7. Its 2027 benefits are not in our records yet. You pay for up to 3 children.

Member	2026	2027	Change
Main member	R12 273	R13 839	+12.8%
Adult dependant	R10 653	R12 011	+12.7%
Child	R3 792	R4 276	+12.8%

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

Any 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)

Chronic and cancer

Chronic conditions

72 conditions (the 27 on the Chronic Disease List plus others the scheme adds).

Chronic conditions

2027 not in our records yet. 2026: 72 conditions (the 27 on the Chronic Disease List plus others the scheme adds).

(2026)

Cancer

Up to R643 340 a year.

Fedhealth maxima EXEC Individual Option brochure 2026, p11

Cancer

2027 not in our records yet. 2026: Up to R643 340 a year.

Fedhealth maxima EXEC Individual Option brochure 2026, p11 (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

Network GP: Paid from Savings then unlimited from Risk. Once Savings is depleted, Fedhealth gives unlimited cover for GP consultations at a Network GP. 10% co-payment in Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

GP visits

2027 not in our records yet. 2026: Network GP: Paid from Savings then unlimited from Risk. Once Savings is depleted, Fedhealth gives unlimited cover for GP consultations at a Network GP. 10% co-payment in Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5 (2026)

Specialist visits

Network medical specialist consultations and visits (excluding psychiatrists): Paid from Savings. Accumulation to and refund from Threshold up to cost. 10% co-payment if GP referral not obtained.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Specialist visits

2027 not in our records yet. 2026: Network medical specialist consultations and visits (excluding psychiatrists): Paid from Savings. Accumulation to and refund from Threshold up to cost. 10% co-payment if GP referral not obtained.

Fedhealth maxima EXEC Individual Option brochure 2026, p5 (2026)

Prescribed medicine (acute)

Acute medicine — Paid from Savings and Threshold. R8 190 per beneficiary per year, R15 160 per family per year before and after Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Prescribed medicine (acute)

2027 not in our records yet. 2026: Acute medicine — Paid from Savings and Threshold. R8 190 per beneficiary per year, R15 160 per family per year before and after Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5 (2026)

Basic dentistry

Basic dentistry: Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Basic dentistry

2027 not in our records yet. 2026: Basic dentistry: Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5 (2026)

Eyes (optometry)

Optical benefit — Paid from Savings and Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Eyes (optometry)

2027 not in our records yet. 2026: Optical benefit — Paid from Savings and Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5 (2026)

Basic X-rays

General radiology — Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Basic X-rays

2027 not in our records yet. 2026: General radiology — Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5 (2026)

Blood tests (pathology)

Pathology and medical technology — Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Blood tests (pathology)

2027 not in our records yet. 2026: Pathology and medical technology — Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5 (2026)

Full benefit list

Every benefit we hold for maxima EXEC, in Fedhealth’s own wording, from its 2026 documents. Fedhealth’s full 2027 list is not in our records yet.

In hospital

Cancer treatment

ONCOLOGY LIMIT R643 340 at preferred provider and paid from Core protocol. DSP above limit.

Fedhealth maxima EXEC Individual Option brochure 2026, p11

MRI, CT and PET scans

MRI/CT: Unlimited at Fedhealth Rate; first R3 050 for non-PMB MRI/CT scans for the member's account. Oncology PET/PET-CT: 2 per family per annum, R5 670 co-payment for non-PET-Network provider.

Fedhealth maxima EXEC Individual Option brochure 2026, p16

Medicine on discharge

7 days' supply of take-home medication, to a maximum of R412 per beneficiary per admission.

Fedhealth maxima EXEC Individual Option brochure 2026, p16

Travel cover

Emergency Medical Benefit: Europ Assistance — R5 million per person per journey (up to 45 days).

Fedhealth maxima EXEC Individual Option brochure 2026, p16

Hospital stay and theatre

Unlimited at negotiated tariff (accommodation, theatres, equipment, medicine, pharmaceuticals, surgical items).

Fedhealth maxima EXEC Individual Option brochure 2026, p15

Surgery and anaesthetics

Up to the Fedhealth Rate; network specialists/GPs in full, non-network up to the Fedhealth Rate.

Fedhealth maxima EXEC Individual Option brochure 2026, p14

Organ and stem cell transplants

R643 340 (bone marrow / stem cell transplantation + immunosuppressive medication, biopsies, scans); corneal grafts R37 430 per beneficiary.

Fedhealth maxima EXEC Individual Option brochure 2026, p16

Dialysis

R643 340 up to the Fedhealth Rate; DSP required, 40% co-payment if a non-DSP is used.

Fedhealth maxima EXEC Individual Option brochure 2026, p16

Internal prostheses

Itemised internal-prosthesis sub-limits (cardiac pacemakers R56 190, joint replacement R40 110, cardiac stents R57 840); combined limit for all unlisted internal prosthesis R33 710.

Fedhealth maxima EXEC Individual Option brochure 2026, p16

Step-down and sub-acute care

Sub-acute and physical rehabilitation facilities and nursing services: Unlimited at negotiated tariff.

Fedhealth maxima EXEC Individual Option brochure 2026, p15

Palliative care

Terminal Care Benefit R35 570; Alignd Serious Illness Benefit covers end-of-life care at no extra cost.

Fedhealth maxima EXEC Individual Option brochure 2026, p15

MRI, CT and PET scans

Specialised radiology Unlimited at the Fedhealth Rate; first R3 050 per non-PMB MRI/CT for the member's account; specific authorisation required.

Fedhealth maxima EXEC Individual Option brochure 2026, p16

Planned PMB procedures

Pre-authorisation required for all planned admissions; PMBs funded in full via network GPs/specialists/hospitals/DSPs, else up to the Fedhealth Rate with co-payment.

Fedhealth maxima EXEC Individual Option brochure 2026, p14

Mental health admissions

R36 910 per family; PMB up to 21 days admission or 15 out-of-hospital consultations.

Fedhealth maxima EXEC Individual Option brochure 2026, p10

Birth (in hospital)

Confinement (general ward, high care, ICU, theatre, medicine, apparatus): Unlimited; network delivery in full, midwife/nurse delivery Unlimited.

Fedhealth maxima EXEC Individual Option brochure 2026, p15

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

Network GP: Paid from Savings then unlimited from Risk. Once Savings is depleted, Fedhealth gives unlimited cover for GP consultations at a Network GP. 10% co-payment in Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

GP visits

Non-network GP: Paid from Savings and Threshold. Does not accumulate to Threshold. Paid from Threshold up to the Fedhealth Rate.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Specialist visits

Network medical specialist consultations and visits (excluding psychiatrists): Paid from Savings. Accumulation to and refund from Threshold up to cost. 10% co-payment if GP referral not obtained.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Psychologist and counselling visits

Psychiatrists: Paid from Savings; paid from Threshold up to the Additional Medical Services limit of R20 000 per family per year. 10% co-payment if no GP referral.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Basic dentistry

Basic dentistry: Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Specialised dentistry

Advanced dentistry: R8 530 per beneficiary per year, R25 470 per family per year before and after Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Auxiliary services

Additional medical services: paid from Savings; from Threshold up to R20 000 per family per year.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Casualty visits

Emergency treatment at a casualty ward paid whether admitted or not (unlimited up to the Fedhealth Rate). A co-payment of R880 per visit for non-PMBs applies.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Chronic medicine (Chronic Disease List)

Unlimited cover for CDL conditions. Any pharmacy on maxima. Basic formulary or 30% co-payment.

Fedhealth maxima EXEC Individual Option brochure 2026, p11

Care after a hospital stay

30-day post-hospitalisation benefit paid from Risk (physiotherapy, OT, speech, ultrasound, general radiology, pathology).

Fedhealth maxima EXEC Individual Option brochure 2026, p11

Prescribed medicine (acute)

Acute medicine — Paid from Savings and Threshold. R8 190 per beneficiary per year, R15 160 per family per year before and after Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Alternative healthcare

Alternative healthcare (acupuncture, homeopathy, naturopathy, osteopathy, phytotherapy) — Paid from Savings and Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Medical appliances

Appliances, external accessories and orthotics — Paid from Savings and Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Chronic medicine (other conditions)

Depression medication: R2 400 per beneficiary per annum subject to an approved list of medication.

Fedhealth maxima EXEC Individual Option brochure 2026, p11

Contraceptives

Certain oral and injectable female contraceptives covered from Risk.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Hearing aids

Hearing aids including repairs — Paid from Savings and Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Maternity care (out of hospital)

Maternity and childhood benefits — antenatal and postnatal consultations, scans, and Baby Programme.

Fedhealth maxima EXEC Individual Option brochure 2026, p10

Eyes (optometry)

Optical benefit — Paid from Savings and Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Over-the-counter medicine

Over-the-counter medicine — Paid from Savings.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Blood tests (pathology)

Pathology and medical technology — Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Physiotherapy and other therapists

Physical therapy (chiropractics, biokinetics and physiotherapy) — Paid from Savings and Threshold.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Basic X-rays

General radiology — Paid from Savings and Threshold. Unlimited once Threshold is reached.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

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 maxima EXEC Individual Option brochure 2026, p5

Procedures in the doctor’s rooms

Selected procedures in day wards, day clinics and doctor's rooms on the Fedhealth Day Surgery Network.

Fedhealth maxima EXEC Individual Option brochure 2026, p5

Screening and prevention

Screening and prevention

Screening & wellness benefit — lifestyle, wellness and physical screenings tailored to age group.

Fedhealth maxima EXEC Individual Option brochure 2026, p6

Conditions

The Chronic Disease List conditions are Prescribed Minimum Benefits on every medical aid. How each one works on a medical aid:

Fedhealth also names these on maxima EXEC’s 2026 chronic list:

Others on its list have no page of ours yet.

Questions about maxima EXEC

Answered from Fedhealth’s documents.

Who is maxima EXEC for?

In Fedhealth’s own words (Fedhealth Executive Plans Rates and Benefits Guide 2027, p5): “Comprehensive healthcare with outstanding day-to-day benefits. Perfect for members wanting the highest level of cover.”

How much does maxima EXEC cost in 2027?

From 1 January 2027: R13 839 a month for the main member, R12 011 for an adult dependant and R4 276 for a child. You pay for up to 3 children.

How much is maxima EXEC going up for 2027?

For the main member, from R12 273 to R13 839 a month, +12.8%.

Does maxima EXEC have a medical savings account?

Yes. 0% of your contribution goes into a savings account, which pays for day-to-day costs such as GP visits and medicine.

How many chronic conditions does maxima EXEC cover?

72: the 27 on the Chronic Disease List and others the scheme adds.

Until what age can children stay on as dependants?

Up to age 27.

Will I have a shortfall if my specialist charges more?

maxima EXEC 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.

Compare my picks →On this plan? Get help with it →All Fedhealth plans →Fedhealth 2027 price changes →Gap cover →

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.