At a glance
- Plan type
- hospital_plus_annual_d2d
- Hospitals
- Network hospitals
- Hospital and specialists
- 100% of Scheme tariff
- Day-to-day costs
- Day-to-day benefits
- Chronic conditions
- 26
- Cancer
- R250 000 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 Traditional 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 | R3 565 | R3 565 | +0.0% |
| Adult dependant | R3 115 | R3 115 | +0.0% |
| Child | R999 | R999 | +0.0% |
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 (sureFED Network)
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p15
Hospitals
2027 not in our records yet. 2026: Network hospitals only (sureFED Network)
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p15 (2026)
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p14
Specialists in hospital
2027 not in our records yet. 2026: 100% of Scheme tariff. A specialist who charges more leaves a shortfall.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, 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
26 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
Chronic conditions
2027 not in our records yet. 2026: 26 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
(2026)
Cancer
Up to R250 000 a year.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p11
Cancer
2027 not in our records yet. 2026: Up to R250 000 a year.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p11 (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
In network & nominated: subject to Annual Day-to-Day Benefit. Once Annual Day-to-Day Benefit is depleted, unlimited consultations with a 20% co-payment at Nominated Network GP.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
GP visits
2027 not in our records yet. 2026: In network & nominated: subject to Annual Day-to-Day Benefit. Once Annual Day-to-Day Benefit is depleted, unlimited consultations with a 20% co-payment at Nominated Network GP.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5 (2026)
Specialist visits
Limited to 2 consultations up to a maximum of R2 500 per family per year. Subject to the Annual Day-to-Day benefit. 40% co-payment if referral from GP is not obtained
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Specialist visits
2027 not in our records yet. 2026: Limited to 2 consultations up to a maximum of R2 500 per family per year. Subject to the Annual Day-to-Day benefit. 40% co-payment if referral from GP is not obtained
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5 (2026)
Prescribed medicine (acute)
Member limited to R1 500 Member +1+ limited to R3 000 maximum family limit, subject to Annual Day-to-Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Prescribed medicine (acute)
2027 not in our records yet. 2026: Member limited to R1 500 Member +1+ limited to R3 000 maximum family limit, subject to Annual Day-to-Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5 (2026)
Basic dentistry
Subject to the Advanced Dentistry benefit, once benefit depleted, subject the Annual Day-to Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Basic dentistry
2027 not in our records yet. 2026: Subject to the Advanced Dentistry benefit, once benefit depleted, subject the Annual Day-to Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5 (2026)
Eyes (optometry)
Based on a two-year benefit cycle, subject to IsoLeso Optometrist Network.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Eyes (optometry)
2027 not in our records yet. 2026: Based on a two-year benefit cycle, subject to IsoLeso Optometrist Network.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5 (2026)
Basic X-rays
Subject to a combined limit with Pathology of R2 000 per family subject to the Annual Day-to-Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Basic X-rays
2027 not in our records yet. 2026: Subject to a combined limit with Pathology of R2 000 per family subject to the Annual Day-to-Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5 (2026)
Blood tests (pathology)
Subject to a combined limit with Basic Radiology of R2 000 per family subject to the Annual Day-to-Day benefit. Subject to the DSP for pathology at negotiated rates or 100% of the scheme tariff for services rendered by non-DSP providers.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Blood tests (pathology)
2027 not in our records yet. 2026: Subject to a combined limit with Basic Radiology of R2 000 per family subject to the Annual Day-to-Day benefit. Subject to the DSP for pathology at negotiated rates or 100% of the scheme tariff for services rendered by non-DSP providers.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5 (2026)
Full benefit list
Every benefit we hold for sureFED Plus, in Fedhealth’s own wording, from its 2026 documents. Fedhealth’s full 2027 list is not in our records yet.
In hospital
Hospital stay and theatre
Unlimited at Fedhealth network hospitals
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p15
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 70% of the Fedhealth Rate on sureFEDEssential and 100% of the Fedhealth Rate on sureFEDPlus.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p14
Cancer treatment
R250 000
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p11
Palliative care
Unlimited at cost at PMB level of care
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p11
Mental health admissions
R10 000 per family per year
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p10
Birth (in hospital)
R2 500 co-payment for non-PMB elective caesareans
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p15
Internal prostheses
Unlimited at cost at PMB level of care
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p16
Dialysis
Unlimited at cost at PMB level of care at DSP. 40% co-payment for voluntary use of non-DSP
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p16
HIV/AIDS
Unlimited
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p16
Organ and stem cell transplants
Unlimited at cost at PMB level of care
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p16
Medicine on discharge
Limited to 7 days’ medication up to a maximum of R412 per beneficiary per admission
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p15
Step-down and sub-acute care
Unlimited at cost up to PMB level of care
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p15
Day procedures
No benefit unless PMB level of care
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p17
Day to day
GP visits
In network & nominated: subject to Annual Day-to-Day Benefit. Once Annual Day-to-Day Benefit is depleted, unlimited consultations with a 20% co-payment at Nominated Network GP.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
GP visits
Limited to 2 consultations per beneficiary per year with either a non-network or a non-nominated network GP with a 30% co-payment. Once benefit is depleted, unlimited consultations with a 20% co-payment at Nominated Network GP
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Specialist visits
Limited to 2 consultations up to a maximum of R2 500 per family per year. Subject to the Annual Day-to-Day benefit. 40% co-payment if referral from GP is not obtained
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Specialist visits
Covered up to 80% of the Fedhealth Rate & subject to the in-network specialist benefit. 40% co-payment if referral from GP is not obtained
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
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 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Basic dentistry
Subject to the Advanced Dentistry benefit, once benefit depleted, subject the Annual Day-to Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Specialised dentistry
Limited to R3 500 per family, once benefit depleted subject to Annual Day-to-Day benefit
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Auxiliary services
Subject to a combined limit with Physical Therapy of R3 000 per family subject to the Annual Day-to-Day benefit
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Alternative healthcare
Subject to a combined limit with Physical Therapy of R3 000 per family subject to the Annual Day-to-Day benefit
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Medical appliances
Subject to the Annual Day-to-Day benefit
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Prescribed medicine (acute)
Member limited to R1 500 Member +1+ limited to R3 000 maximum family limit, subject to Annual Day-to-Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Over-the-counter medicine
Limited to R150 per script to a family limit of R600 per annum.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Chronic medicine (Chronic Disease List)
Unlimited cover for the Prescribed Minimum Benefit conditions on the Chronic Disease List (CDL)
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p9
Chronic medicine (other conditions)
Depression medication - R2 400 per beneficiary subject to an approved list of medications
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p9
Eyes (optometry)
Based on a two-year benefit cycle, subject to IsoLeso Optometrist Network.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Blood tests (pathology)
Subject to a combined limit with Basic Radiology of R2 000 per family subject to the Annual Day-to-Day benefit. Subject to the DSP for pathology at negotiated rates or 100% of the scheme tariff for services rendered by non-DSP providers.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Basic X-rays
Subject to a combined limit with Pathology of R2 000 per family subject to the Annual Day-to-Day benefit.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
MRI, CT and PET scans
Limited to R14 090 per family, in and out-of-hospital at Fedhealth Rate. First R2 500 for non-PMB MRI/ CT scans for member’s account
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Procedures in the doctor’s rooms
• Gastroscopy (no general anaesthetic will be paid for) • Colonoscopy (no general anaesthetic will be paid for) • Flexible sigmoidoscopy • Indirect laryngoscopy • Removal of impacted wisdom teeth
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Physiotherapy and other therapists
Subject to a combined limit with Additional Medical Services of R3 000 per family subject to the Annual Day-to-Day benefit
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p5
Contraceptives
Women up to age 55 Oral and injectable contraceptives, contraceptive patches and vaginal rings, subject to an approved list. Contraceptive implants and Intrauterine Devices: Limited to 1 every 2 years.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p7
Care after a hospital stay
Fedhealth is one of the only medical schemes that pays for post-hospitalisation treatment for up to 30 days after discharge from hospital.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p7
Psychologist and counselling visits
15 out-of-hospital consultations per person for major affective disorders, anorexia, bulimia and substance abuse and 12 out-of- hospital consultations per beneficiary for acute stress disorder as per PMB entitlement.
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p10
Maternity care (out of hospital)
6 antenatal (or postnatal) consultations with a midwife, network GP or gynaecologist
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p13
Chronic medicine (other conditions)
All children up to age 18
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p13
Screening and prevention
Screening and prevention
All lives, 1 test every year
Fedhealth 2026 Traditional options Rates Benefits Guide DIGITAL - sureFed, p7
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 sureFED Plus’s 2026 chronic list:
Questions about sureFED Plus
Answered from Fedhealth’s documents.
Who is sureFED Plus for?
In Fedhealth’s own words (Fedhealth Traditional Plans Rates and Benefits Guide 2027, p5): “You prefer a plan that offers a defined set of day-to-day benefits You know upfront how your day-to-day benefit is allocated across individual benefit categories, e.g. GPs, medication, specialists, etc. You are covered for hospital bills”
How much does sureFED Plus cost in 2027?
From 1 January 2027: R3 565 a month for the main member, R3 115 for an adult dependant and R999 for a child. You pay for up to 3 children.
How much is sureFED Plus going up for 2027?
For the main member, from R3 565 to R3 565 a month, +0.0%.
Does sureFED Plus pay for GP visits and day-to-day costs?
It has day-to-day benefits; the fact sheet above lists what we hold.
How many chronic conditions does sureFED Plus cover?
26: 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?
sureFED Plus 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.