Fedhealth myFED: 2027 contributions and benefits

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: 27 (Chronic Disease List)
Cancer: PMB level of care
Children you pay for: Up to 3
Children on the plan to age: 27
Priced by: Household income (4 bands)

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 myFED Rates and Benefits Guide 2027, p6. Its 2027 benefits are not in our records yet. You pay for up to 3 children.

Household income (2026)	Main member	Adult	Child
R1 - R11 063	R1 719	R1 719	R779
R11 064 - R15 617	R1 971	R1 971	R931
R15 618 - R21 651	R2 453	R2 453	R966
R21 652+	R4 052	R4 052	R1 281

Household income (2027)	Main member	Adult	Child
R1 - R11 494	R1 857	R1 857	R841
R11 495 - R16 226	R2 129	R2 129	R1 005
R16 227 - R22 495	R2 649	R2 649	R1 043
R22 496+	R4 376	R4 376	R1 383

The income bands are the scheme's own and can move from year to year.

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 (myFED Hospital Network)

Fedhealth myFED Individual Option Brochure 2026, p10

Hospitals

2027 not in our records yet. 2026: Network hospitals only (myFED Hospital Network)

Fedhealth myFED Individual Option Brochure 2026, p10 (2026)

Specialists in hospital

100% of Scheme tariff. A specialist who charges more leaves a shortfall.

Fedhealth myFED Individual Option Brochure 2026, p10

Specialists in hospital

2027 not in our records yet. 2026: 100% of Scheme tariff. A specialist who charges more leaves a shortfall.

Fedhealth myFED Individual Option Brochure 2026, p10 (2026)

Chronic and cancer

Chronic conditions

27 conditions, the Chronic Disease List.

Chronic conditions

2027 not in our records yet. 2026: 27 conditions, the Chronic Disease List.

(2026)

Cancer

Cover at the PMB level of care, through ICON.

Fedhealth myFED Individual Option Brochure 2026, p8

Cancer

2027 not in our records yet. 2026: Cover at the PMB level of care, through ICON.

Fedhealth myFED Individual Option Brochure 2026, p8 (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 at nominated myFED contracted GP, subject to protocols and utilisation monitoring after 10 visits per beneficiary per year. Up to 2 nominated GPs.

Fedhealth myFED Individual Option Brochure 2026, p4

GP visits

2027 not in our records yet. 2026: Unlimited at nominated myFED contracted GP, subject to protocols and utilisation monitoring after 10 visits per beneficiary per year. Up to 2 nominated GPs.

Fedhealth myFED Individual Option Brochure 2026, p4 (2026)

Specialist visits

Not covered.

Fedhealth myFED Individual Option Brochure 2026, p5

Specialist visits

2027 not in our records yet. 2026: Not covered.

Fedhealth myFED Individual Option Brochure 2026, p5 (2026)

Prescribed medicine (acute)

Acute medicine — Unlimited, subject to acute formulary for all medical practitioners.

Fedhealth myFED Individual Option Brochure 2026, p5

Prescribed medicine (acute)

2027 not in our records yet. 2026: Acute medicine — Unlimited, subject to acute formulary for all medical practitioners.

Fedhealth myFED Individual Option Brochure 2026, p5 (2026)

Basic dentistry

Basic dentistry — Removal of teeth and roots, suturing of traumatic wounds, oral medical procedures. Subject to a contracted list of dentists.

Fedhealth myFED Individual Option Brochure 2026, p5

Basic dentistry

2027 not in our records yet. 2026: Basic dentistry — Removal of teeth and roots, suturing of traumatic wounds, oral medical procedures. Subject to a contracted list of dentists.

Fedhealth myFED Individual Option Brochure 2026, p5 (2026)

Eyes (optometry)

Optical benefit — Subject to ISO Leso Network Optometrists. Benefit available on a two-yearly cycle.

Fedhealth myFED Individual Option Brochure 2026, p5

Eyes (optometry)

2027 not in our records yet. 2026: Optical benefit — Subject to ISO Leso Network Optometrists. Benefit available on a two-yearly cycle.

Fedhealth myFED Individual Option Brochure 2026, p5 (2026)

Basic X-rays

General radiology — Unlimited, subject to basic protocol.

Fedhealth myFED Individual Option Brochure 2026, p5

Basic X-rays

2027 not in our records yet. 2026: General radiology — Unlimited, subject to basic protocol.

Fedhealth myFED Individual Option Brochure 2026, p5 (2026)

Blood tests (pathology)

Pathology and medical technology — Unlimited, subject to basic protocol.

Fedhealth myFED Individual Option Brochure 2026, p5

Blood tests (pathology)

2027 not in our records yet. 2026: Pathology and medical technology — Unlimited, subject to basic protocol.

Fedhealth myFED Individual Option Brochure 2026, p5 (2026)

Full benefit list

Every benefit we hold for myFED, 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 myFED, oncology cover is unlimited at PMB level of care at the designated service provider, ICON, subject to Essential protocols. A 25% co-payment applies where a DSP is not used.

Fedhealth myFED Individual Option Brochure 2026, p8

Day procedures

30% co-payment on voluntary use of non-network hospitals and mental health facilities; R2 710 on non-network day surgery; 25% on non-network substance abuse; R880 per casualty visit for non-PMBs.

Fedhealth myFED Individual Option Brochure 2026, p10

Medicine on discharge

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

Fedhealth myFED Individual Option Brochure 2026, p10

Hospital stay and theatre

Unlimited at Fedhealth myFED Network Hospitals; 30% co-payment on voluntary non-network hospital, R2 710 on non-network day surgery.

Fedhealth myFED Individual Option Brochure 2026, p11

Surgery and anaesthetics

In-network in full / PMB at cost at PMB level of care; non-network up to the Fedhealth Rate.

Fedhealth myFED Individual Option Brochure 2026, p11

Organ and stem cell transplants

Bone marrow / stem cell transplantation + immunosuppressive medication, biopsies, scans: at cost at PMB level of care; corneal grafts: no benefit.

Fedhealth myFED Individual Option Brochure 2026, p12

Dialysis

At cost at PMB level of care at a DSP; 40% co-payment if a non-DSP is used.

Fedhealth myFED Individual Option Brochure 2026, p12

Internal prostheses

Internal prostheses and devices: at cost at PMB level of care.

Fedhealth myFED Individual Option Brochure 2026, p12

Step-down and sub-acute care

Sub-acute and physical rehabilitation facilities: at cost at PMB level of care; Hospice excluded.

Fedhealth myFED Individual Option Brochure 2026, p11

Palliative care

In-hospital Terminal Care Benefit: no benefit unless PMB level of care; Alignd Serious Illness Benefit provides palliative / end-of-life care.

Fedhealth myFED Individual Option Brochure 2026, p11

MRI, CT and PET scans

Specialised radiology (CT/MRI/MUGA/Radio Isotope) from Risk in-hospital, R15 500 per family per year; specific authorisation required; no day-to-day specialised radiology.

Fedhealth myFED Individual Option Brochure 2026, p19

Planned PMB procedures

Network-GP referral + pre-authorisation; surgical procedures at cost at PMB level of care; PMBs in full only via Fedhealth network/DSP.

Fedhealth myFED Individual Option Brochure 2026, p11

Mental health admissions

At cost at PMB level of care at a myFED mental-health network facility; 30% co-payment on voluntary non-network use.

Fedhealth myFED Individual Option Brochure 2026, p12

Birth (in hospital)

Confinement in hospital: at cost at PMB level of care; elective Caesarean subject to R15 950 co-payment.

Fedhealth myFED Individual Option Brochure 2026, p12

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 at nominated myFED contracted GP, subject to protocols and utilisation monitoring after 10 visits per beneficiary per year. Up to 2 nominated GPs.

Fedhealth myFED Individual Option Brochure 2026, p4

GP visits

Up to 2 GP consultations per beneficiary for non-contracted GPs allowed per year.

Fedhealth myFED Individual Option Brochure 2026, p4

Specialist visits

Not covered. 2 specialist consultations and treatment up to R2 220 per family per year. Must be referred by contracted GP; no referral attracts a 40% upfront co-payment. Non-network specialists: No benefit.

Fedhealth myFED Individual Option Brochure 2026, p5

Chronic medicine (Chronic Disease List)

Unlimited cover for CDL conditions; basic formulary or 25% co-payment. DSP: Clicks Courier, Dis-Chem Courier and Pharmacy Direct, 25% co-payment for non-DSP.

Fedhealth myFED Individual Option Brochure 2026, p8

Psychologist and counselling visits

Limited to two mental health consultations per beneficiary per year.

Fedhealth myFED Individual Option Brochure 2026, p4

Casualty visits

Trauma treatment at a casualty ward unlimited up to the Fedhealth Rate; R880 co-payment per visit for non-PMBs; authorisation within 2 working days.

Fedhealth myFED Individual Option Brochure 2026, p5

Maternity care (out of hospital)

myFED Baby Programme from the 12th week of pregnancy; 4 post-natal midwife consultations per event; antenatal consultations; pregnancy related scans and tests; Paed-IQ 24/7 paediatric advice line.

Fedhealth myFED Individual Option Brochure 2026, p9

Care after a hospital stay

30-day post-hospitalisation benefit paid from Risk.

Fedhealth myFED Individual Option Brochure 2026, p10

Prescribed medicine (acute)

Acute medicine — Unlimited, subject to acute formulary for all medical practitioners.

Fedhealth myFED Individual Option Brochure 2026, p5

Alternative healthcare

Not covered. myFED provides day-to-day benefits from Risk; alternative healthcare is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Medical appliances

Not covered. myFED provides day-to-day benefits from Risk; external appliances is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Auxiliary services

Not covered. myFED provides day-to-day benefits from Risk; auxiliary services is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Chronic medicine (other conditions)

Not covered. myFED provides day-to-day benefits from Risk; non-CDL chronic is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Contraceptives

Not covered. myFED provides day-to-day benefits from Risk; contraceptives is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Specialised dentistry

Not covered. myFED provides day-to-day benefits from Risk; advanced dentistry is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Basic dentistry

Basic dentistry — Removal of teeth and roots, suturing of traumatic wounds, oral medical procedures. Subject to a contracted list of dentists.

Fedhealth myFED Individual Option Brochure 2026, p5

Hearing aids

Not covered. myFED provides day-to-day benefits from Risk; hearing aids is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Eyes (optometry)

Optical benefit — Subject to ISO Leso Network Optometrists. Benefit available on a two-yearly cycle.

Fedhealth myFED Individual Option Brochure 2026, p5

Over-the-counter medicine

Not covered. Over-the-counter medicine — No benefit.

Fedhealth myFED Individual Option Brochure 2026, p5

Blood tests (pathology)

Pathology and medical technology — Unlimited, subject to basic protocol.

Fedhealth myFED Individual Option Brochure 2026, p5

Physiotherapy and other therapists

Not covered. myFED provides day-to-day benefits from Risk; physical therapy is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Basic X-rays

General radiology — Unlimited, subject to basic protocol.

Fedhealth myFED Individual Option Brochure 2026, p5

MRI, CT and PET scans

Not covered. Specialised radiology — No benefit.

Fedhealth myFED Individual Option Brochure 2026, p5

Procedures in the doctor’s rooms

Not covered. myFED provides day-to-day benefits from Risk; day-surgery procedures in rooms is not itemised as a myFED benefit and myFED carries no medical savings account (MSA).

Fedhealth myFED Individual Option Brochure 2026, p4

Screening and prevention

Screening and prevention

Screening benefit: lifestyle and wellness screenings (finger-prick glucose, total cholesterol, blood pressure, waist circumference, BMI) and physical screenings.

Fedhealth myFED Individual Option Brochure 2026, p4

Conditions

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

Fedhealth’s 2026 documents name no chronic conditions beyond the Chronic Disease List on myFED.

Questions about myFED

Answered from Fedhealth’s documents.

Who is myFED for?

In Fedhealth’s own words (Fedhealth myFED Rates and Benefits Guide 2027, p5): “Affordable cover particularly for low-income earners”

How much does myFED cost in 2027?

From 1 January 2027 it depends on household income. In the lowest band, R1 857 a month for the main member; in the highest, R4 376.

Does myFED pay for GP visits and day-to-day costs?

No. myFED is a hospital plan, so day-to-day costs are your own.

How many chronic conditions does myFED cover?

27, the conditions on the Chronic Disease List.

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?

myFED 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.