FlexiFED 4
About this plan
🥇 Best suited for families wanting comprehensive healthcare with generous day-to-day benefits.
Principal Member
From
R7,941
per month
Adult Dependant
From
R7,248
per month
Child Dependant
From
R2,388
per month
What's covered
Hospital cover
Savings account
Day-to-day
Chronic cover
Dental
Optical
Maternity
Mental health
Waiting periods
- General
- 3 months
- Pre-existing conditions
- 12 months
FlexiFED 4
Fedhealth FlexiFED 4 Plan (🇿🇦 2026)
Overall, the Fedhealth FlexiFED 4 Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and lower co-payments on several procedures. The Fedhealth FlexiFED 4 Medical Aid Plan starts from R4,958 on the Elect option.| 🟨 FlexiFed 4 Hospital Plan | |
| 👤 Main Member Contribution | R4,958 - R6,620 |
| 👥 Adult Dependent Contribution | R4,620 - R6,042 |
| 🍼 Child Dependent Contribution | R1,521 - R1,991 |
| 🟪 FlexiFed 4 Savings Plan | |
| 👤 Main Member Contribution | R6,285 - R7,941 |
| 👥 Adult Dependent Contribution | R5,832 - R7,248 |
| 🍼 Child Dependent Contribution | R1,921 - R2,388 |
| 🔁 Gap Cover | None |
| 📉 Annual Limit | Unlimited Hospital Cover |
| 🏥 Hospital Cover | Unlimited |
| 💶 Prescribed Minimum Benefits | ☑️ Yes |
| 🩺 Screening and Prevention | ☑️ Yes |
| ➡️ Medical Savings Account | ☑️ Yes |
| ☑️ Oncology Cover | R514,570 |
Fedhealth FlexiFED 4 Plan - 8 Key Point Quick Overview
- ✅ Fedhealth FlexiFED 4 Plan Overview
- ✅ Fedhealth FlexiFED 4 Plan Contributions, Annual Threshold, and Medical Savings
- ✅ Fedhealth FlexiFED 4 Plan Benefits and Cover Comprehensive Breakdown
- ✅ FlexiFED 4 Programs and Wellness Initiatives
- ✅ Fedhealth FlexiFED 4 Plan Exclusions and Waiting Periods
- ✅ Fedhealth FlexiFED 4 Plan vs. Similar Plans from other Medical Schemes
- ✅ Our Verdict on the Fedhealth FlexiFED 4 Plan
- ✅ Fedhealth FlexiFED 4 Plan Frequently Asked Questions
Fedhealth FlexiFED 4 Plan Overview
The Fedhealth FlexiFED 4 medical aid plan is one of 8, starting from R4,958 (Elect Options) and includes lower co-payments on several procedures, higher limits on oncology and organ transplants, extended early childhood benefits, maternity, advanced dentistry, and more. Gap Cover is not included on the Fedhealth FlexiFED 4 Plan. Fedhealth offers 24/7 medical emergency assistance. According to the Trust Index, Fedhealth has a trust rating of 4.5.
Fedhealth offers 8 medical aid plans:
- ✅ FlexiFED Savvy
- ✅ MyFED
- ✅ Maxima PLUS
- ✅ Maxima EXEC
- ✅ FlexiFED 4
- ✅ FlexiFED 3
- ✅ FlexiFED 2
- ✅ FlexiFED 1
Fedhealth FlexiFED 4 Plan Contributions, Annual Threshold, and Medical Savings
Contributions: Hospital Plan & Savings Plan
| FlexiFed 4 Hospital Plan | 👤 Main Member | 👥 Dependent | 👥 Child Dependent |
| 🟩 flexiFed 4 | R6,620 | R6,042 | R1,991 |
| 🟨 flexiFed 4 GRIND | R5,931 | R5,424 | R1,787 |
| 🟦 flexiFed 4 ELECT | R4,958 | R4,620 | R1,521 |
| FlexiFed 4 Savings Plan | 👤 Main Member | 👥 +1 Dependent | 👥 +1 Child Dependent |
| 🟩 flexiFed 4 | R7,941 | R7,248 | R2,388 |
| 🟨 flexiFed 4 GRIND | R7,255 | R6,632 | R2,186 |
| 🟦 flexiFed 4 ELECT | R6,285 | R5,832 | R1,921 |
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Contributions and Annual Threshold – Supercharged Hospital Plan
Annual Threshold: Hospital Plan & Savings Plan
| FlexiFed 4 Hospital Plan | 👤 Main Member | 👥 +1 Dependent | 👥 +1 Child Dependent |
| 🟩 flexiFed 4 | R22,308 | R20,364 | R6,708 |
| 🟨 flexiFed 4 GRID | R22,308 | R20,364 | R6,708 |
| 🟦 flexiFed 4 ELECT | R22,308 | R20,364 | R6,708 |
| FlexiFed 4 Savings Plan | 👤 Main Member | 👥 +1 Dependent | 👥 +1 Child Dependent |
| 🟩 flexiFed 4 | R22,308 | R20,364 | R6,708 |
| 🟨 flexiFed 4 GRID | R22,308 | R20,364 | R6,708 |
| 🟦 flexiFed 4 ELECT | R22,308 | R20,364 | R6,708 |
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Savings: Hospital Plan & Savings Plan
| FlexiFed 4 Hospital Plan | 👤 Main Member | 👥 Dependent | 👥 Child Dependent |
| 🟩 flexiFed 4 | R348 | R312 | R108 |
| 🟨 flexiFed 4 GRID | R312 | R288 | R84 |
| 🟦 flexiFed 4 ELECT | R276 | R240 | R72 |
| FlexiFed 4 Savings Plan | 👤 Main Member | 👥 Dependent | 👥 Child Dependent |
| 🟩 flexiFed 4 | R1350 | R1232 | R406 |
| 🟨 flexiFed 4 GRID | R1350 | R1232 | R406 |
| 🟦 flexiFed 4 ELECT | R1350 | R1232 | R406 |
Annual backup day-to-day savings available to members
| FlexiFed 3 Hospital Plan | 👤 Main Member | 👥 Dependent | 👥 Child Dependent |
| 🟩 flexiFed 3 | R21,960 | R20,052 | R6,600 |
| 🟨 flexiFed 3 GRID | R21,996 | R20,076 | R6,624 |
| 🟦 flexiFed 3 ELECT | R22,032 | R20,124 | R6,636 |
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Fedhealth FlexiFED 4 Plan Benefits and Cover Comprehensive Breakdown
FlexiFED 4 Supercharged Hospital Plan and In-hospital benefits
- All hospitalization-required treatments and procedures included in the flexiFED plans are covered under this benefit.
- Unless otherwise specified, annual restrictions apply to an entire household.
| 🟥 Overall Annual Limit (OAL) | No overall annual limit |
| ☑️ Healthcare Professional Tariff in-hospital (HPT) | - |
| 🟧 Fedhealth Network GPs and Specialists | Unlimited cover. Accounts will be paid in full. |
| 🟨 Non-network GPs | Covered up to the Fedhealth Rate. Two out-of-area GP visits per member per year. |
| 🟩 Non-Network Specialists | Covered up to the Fedhealth Rate. |
| 🟦 Other healthcare professionals | Covered up to the Fedhealth Rate. |
| 🟪 PMBs treatment | You must use Fedhealth Network Doctors and specialists to receive complete coverage for PMB conditions. If you choose not to use network providers, the Scheme will only reimburse you for treatment up to the Fedhealth Rate for non-network GPs and specialists. If the healthcare practitioner charges extra, you will have a shortfall. |
| 🟥 Hospitalization Costs | Unlimited cover at the negotiated tariff. A private ward will be covered for maternity admissions if available at the negotiated tariff. |
| 🟧 Additional medical services | Paid from Fedhealth savings or must be self-funded. The benefit will accumulate at cost towards the Threshold level. |
| ☑️ Hospitalisation Alternatives | - |
| 🟨 Nursing services Private nurse practitioners Nursing agencies | Unlimited according to the negotiated tariff. |
| 🟩 Sub-acute facilities Physical Rehabilitation facilities | Unlimited according to PMB level of care. |
| 🟦 Appliances, external accessories, and orthotics | Paid from Fedhealth Savings or self-funded. Does not accumulate to Threshold. Paid from Threshold up to R13 300 per family per year. (R5 010 sub-limit per beneficiary for foot orthotics) |
| 🟪 Blood, Blood Equivalents, and Blood Products | Unlimited cover. |
| 🟥 Immune Deficiency relating to HIV | Unlimited cover. |
| ☑️ Maternity | - |
| 🟧 Fedhealth Network GPs and Specialists | Unlimited and fully covered. |
| 🟨 Non-network GPs and Specialists | Covered up to the Fedhealth Rate. |
| 🟩 Other healthcare professionals | Covered up to the Fedhealth Rate. |
| ☑️ Dentistry | - |
| 🟦 Maxillo-Facial Surgery | Unlimited cover. Subject to approval. |
| 🟪 Surgical extraction of impacted wisdom teeth | A co-payment of R5,910 is required. |
| 🟥 In-hospital dentistry benefits for child beneficiaries <7 | Fedhealth covers the hospital and anesthetist costs from the in-hospital benefit. The Fedhealth savings cover the dentist account, or the member must fund it. |
| 🟧 Oncology | Limited to R514,570 at a designated service provider under the Essential protocol. Non-DSP users must pay a 25% co-payment. |
| 🟨 Corneal Grafts | Limited to R37,430 per beneficiary. |
| 🟩 Organ Transplants | Limited to R514,570. |
| 🟦 Pathology and Radiology (Basic) | Unlimited up to the Fedhealth Rate. |
| 🟪 Physiotherapy | Pre-authorization and treatment regimens apply. Subject to referral by a medical practitioner. |
| 🟥 Psychiatric Services For Example: Accommodation in a general ward Procedures ECT Materials | Limited to R28,870 per year. |
| 🟧 Renal Dialysis Consultations Visits All services, materials, and medicine associated with the cost of renal dialysis | Limited to R514,570 up to the Fedhealth Rate at Designated Service Provider (DSP). A 40% co-payment will apply if a DSP is not used. |
| 🟨 Childhood illness specialized drug benefit | Childhood sickness specialized drug benefit for children under 18. |
| 🟩 Specialized Radiology | Unlimited at Fedhealth Rate. First R3 050 for non-PMB MRI/ CT scans for the member’s account Oncology PET and PET/CT scans - 2 PET scans per family per annum limited to the Oncology benefit subject to DSP network. R5 670 co-payment for use of non-DSP |
| 🟦 Spinal Surgery | No benefit unless Conservative Back & Neck Rehabilitation Programme has been completed. Member pays a co-payment of R7 510 on the hospital bill |
| 🟪 Terminal Care Benefit | Limited to R35,570 per family per year. |
FlexiFED 4 Co-Payments
Members of the Fedhealth FlexiFED 4 plan must note that the following co-payments may apply according to the procedure performed. These co-payments are for the member’s account. Co-payments per event applicable on hospital or facility account:- ✅ Arthroscopic procedures - knee, shoulder, ankle, wrist, hip: R3,440 per event.
- ✅ Back & neck procedures: R3,000 per event.
- ✅ Colonoscopy, upper GI endoscopy: R3,230 per event.
- ✅ Laparoscopic hernia repairs (bilateral inguinal, repeated inguinal hernias & Nissen/ Toupet hernia repairs only), laparoscopic procedures: R5,540 per event.
- ✅ Single hip and knee replacement (voluntary non-use of a CP): R36,330.
- ✅ Other joint replacements (voluntarily non-use of CP) for single hip and knee replacements: R5,910 per event.
- ✅ Spinal Surgery: R7,740 per event.
- ✅ Surgical extraction of impacted wisdom teeth: R5,910 per event.
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FlexiFED 4 Protheses Benefits
- External Prostheses: Limited to R13,300 at cost.
- Internal Prostheses:
| 1️⃣ Aorta Stent Grafts | Limited to R67,530. |
| 2️⃣ Bone lengthening devices, carotid stents, embolic protection devices, and more. | Covered under the combined benefit limit for all unlisted internal prostheses |
| 3️⃣ Cardiac pacemakers, cardiac stents, cardiac valves | Limited to R31,960. |
| 4️⃣ Detachable platinum coils | Limited to R58,460. |
| 5️⃣ Elbow, hip, knee, and shoulder replacement | Limited to R31,960. |
| 6️⃣ Total ankle replacement | Covered under the combined benefit limit for all unlisted internal prostheses |
| 7️⃣ Intraocular lenses (per lens) | Limited to R3,610. |
| 8️⃣ Combined benefit limit for all unlisted internal prosthesis | R28,760 |
FlexiFED 4 Chronic Disease Benefits
- ️Subject to a limit of R6,530 per beneficiary, and also R13,170 per family on Acute Medicine.
- Thereafter unlimited cover for conditions on the CDL
- HIV/AIDS treatment for mother-to-child transmission, rape, and post-exposure prophylaxis is unlimited.
FlexiFED 4 CDL List
- ☑️ Addison’s Disease
- ☑️ Asthma
- ☑️ Bipolar Mood Disorder
- ☑️ Bronchiectasis
- ☑️ Cardiac Failure
- ☑️ Cardiomyopathy
- ☑️ COPD/ Emphysema/ Chronic Bronchitis
- ☑️ Chronic Renal Disease
- ☑️ Coronary Artery Disease
- ☑️ Crohn’s Disease
- ☑️ Epilepsy
FlexiFED 4 Screening and Prevention Benefits
- Women’s Health
- Cervical Cancer Screening (Pap smear): One every three years for female beneficiaries between 21 and 65.
- Men’s Health
- Prostate Specific Antigen (PSA): One every year for male beneficiaries between 45 and 69.
- Children’s Health
- Immunisation Programme according to the State EPI: Various frequencies from birth to 12 years.
- HPV Vaccine: Limited to two doses per lifetime for female beneficiaries between 9 to 14.
- Optical Screening: One per lifetime for kids between 5 to 8.
- Cardiac Health
- Cholesterol screening (full lipogram): Once every five years for all beneficiaries aged 20>
- Beneficiary over 45
- Breast cancer screening with mammography: One every two years for all beneficiaries 40>
- Colorectal cancer screening via a fecal occult blood test: One every year for beneficiaries 50 to 75.
- Pneumococcal vaccines: Once per lifetime for beneficiaries 65>
- General
- Flu Vaccine: Once every year for all beneficiaries.
- HIV finger prick test: Once every year for all beneficiaries.
- Health Risk Assessment
- Wellness screening (BMI, blood pressure, finger prick cholesterol, and glucose tests): Once a year for all beneficiaries.
- Preventative screening (Waist-to-hip ratio, body fat percentage, flexibility, posture, and fitness): Once a year for all beneficiaries.
FlexiFED 4 Day-to-Day Benefits
| 💶 Tariff | Covered up to the Fedhealth rate. |
| 💴 Co-payments in Threshold | 20% co-payment. |
| 🦻 Appliances, External Accessories, and Orthotics: For example: Hearing Aids Wheelchairs, etc. | In and out of the hospital: Fedhealth Savings or self-funding. Not threshold-accumulating. Threshold pays R13,300 per family each year. R5,010 sub-limit for foot orthotics per beneficiary. |
| 🪡 Alternative Healthcare For example: Acupuncture Homoeopathy | Covered from available savings or must be funded by the member. Will not accumulate at a cost to the Threshold level. |
| ⚕️ Additional Medical Services For example: Audiology Dietetics Genetic Counselling | Covered from available savings or must be funded by the member. Will not accumulate at a cost to the Threshold level. Threshold pays R13,300 per family each year. |
| 🦷 Advanced Dentistry For example: Inlays Crowns Bridges Mounted Study Models | Covered from available savings or must be funded by the member. R8,530 per person, R25,470 per family per year before and beyond Threshold |
| ➡️ Osseo-integrated Implants and Orthognathic Surgery | Covered from available savings or must be funded by the member. Will not accumulate at a cost to the Threshold level. |
| 🪥 Basic Dentistry | Self-funded or paid from Fedhealth Savings. Unlimited cover once the threshold is reached. |
| 🅰️ Fedhealth Network GPs | Paid from Fedhealth Savings, then unlimited visits to a selected network Physician after the Threshold is achieved. Each beneficiary may choose up to two network doctors. Each beneficiary is only allowed two mental health visits per year. Up to two out-of-area GP consultations per recipient per year are permitted. |
| 🅱️ Non-network GPs | Fedhealth Savings or self-funded, plus Threshold. Threshold accumulation and refund are unlimited at the Fedhealth Rate. Each beneficiary is only allowed two mental health visits per year. |
| 🤰 Maternity | Covered from available savings or must be funded by the member. Will accumulate at a cost to the Threshold level. |
| 💙 Scans | Two 2D Scans |
| 👶 Antenatal Classes | YES |
| 💟 Antenatal and Postnatal Consultations | Twelve consults with a midwife, network GP or gynecologist |
| 📈 Amniocentesis | The test is included in the benefit. |
| 🙂 Fedhealth Baby Programme | Pregnant Fedhealth members and beneficiaries receive free support, guidance, and a baby pack. |
| 😊 Doula Benefit | Fedhealth pays up to R3,600 per delivery for a doula. |
| 🍼 Postnatal Midwifery Benefit | Four consultations with a midwife in and out-of-hospital. |
| ✅ Pediatric Consultations | One consultation per beneficiary. For children up to 2 years. A network pediatrician must be used, and referral is not necessary. |
| 🦻 Infant hearing Screening Benefit | Includes a screening test from birth up to 8 weeks. Covered up to the Fedhealth Rate. |
| 💊 Childhood Illness Specialised Drug Benefit | Fedhealth covers specialized drugs for children up to 18. |
| 📍 Appliances and devices | Fedhealth covers breast pumps and nebulizers from medical savings if there is a NAPPI code. Benefit accumulates to the Threshold on the appliances, external accessories, and orthotics limit. |
| 🤓 Optometry - Optical Benefit | Self-funded or Fedhealth Savings. Before and after Threshold, limited to R3,860 per beneficiary, R11,750 per family per year. |
| 🟥 Over-the-Counter Medication | Covered from available savings or must be funded by the member. Will not accumulate at a cost to the Threshold level. |
| 🟧 Pathology | Covered from available savings or must be funded by the member. Unlimited cover once the Threshold is reached. |
| 🟨 Physical Therapy | Self-funded or Fedhealth Savings. Not Threshold-accumulating. Threshold pays up to R13,300 per household every year for Extra Medical Services. |
| 🟩 Prescribed Medication | Fedhealth Savings, self-funded, and Threshold cover. Before and after Threshold, R6,530 per beneficiary and R13,170 per household annually. |
| 🟦 Basic Radiology | Covered from available savings or must be funded by the member. Unlimited cover once the threshold is reached. |
| 🟪 Specialists (excl. Psychiatrists) | Network GP referral is required for consults Including PMB conditions. The benefit is paid from Risk benefits. |
| 👩⚕️ Fedhealth Network Specialists | Covered from available savings or must be funded by the member. Unlimited at cost once the Threshold is reached. 20% co-payment for no GP referral. |
| 👨⚕️ Non-network Specialists | Covered from available savings or must be funded by the member. Accumulation to and reimbursement from Threshold only up to (and including) the Fedhealth Rate. Unlimited at cost once the Threshold is reached. 20% co-payment for no GP referral. |
| 🧠 Specialists – Psychiatrists | Network GP referral is required for consults Including PMB conditions. The benefit is paid from Risk benefits. |
| 📌 Fedhealth Network Psychiatrists | Self-funded or paid from Fedhealth Savings. Does accumulate to the Threshold. Paid from Threshold at a cost of up to R13,300 per family per year for Extra Medical Services. If a GP referral is not obtained, a 20% co-payment is required. |
| 📍 Non-network Psychiatrists | Self-funded or paid from Fedhealth Savings. Does not accumulate to the Threshold. Paid from the Threshold up to the Fedhealth Rate, with a maximum of R13 300 per family per year for Extra Medical Services. If a GP referral is not obtained, a 20% co-payment is required. |
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FlexiFED 4 Programs and Wellness Initiatives
Fedhealth offers all FlexiFED 4 Members access to additional programs, benefits, and initiatives as indicated below.| 😷 HIV Management | Fedhealth provides the AfA program to help HIV-positive members manage their illnesses. Besides paying essential drug and pathology claims, the benefits of being on the program include therapeutic and emotional assistance with strict secrecy. |
| ↪️ Aligned | Fedhealth has teamed with Aligned to provide additional care to members suffering from critical illnesses such as advanced cancer. The benefit includes an initial consultation with a clinician trained in palliative care to examine their needs holistically. Counseling for the individual and their family is provided, as is establishing an advanced healthcare plan or living will. Three follow-up doctor visits and two follow-up social worker consultations are also provided yearly to support the member throughout their treatment. |
| 💙 Corporate Wellness Days | Corporate wellness days allow for the creation of awareness, education, prevention, screening, and targeted interventions that encourage good lifestyle changes. These days are well-received because having these services at work is convenient for Fedhealth members. In addition to the therapeutic benefits that wellness days can bring, they allow Fedhealth to market the Scheme to clients and potential clients. |
| 🍬 Diabetes Care | Fedhealth customers with diabetes can access a comprehensive program tailored to their specific needs and other chronic diseases. This involves ongoing access to a treating physician, authorized chronic medication, and blood and laboratory tests. |
| 🚑 Emergency Transport/Response | In an emergency, Fedhealth will provide emergency transportation to all members through the partner Europ Assistance. |
| ⚕️ Fedhealth Conservative Back and Neck Rehabilitation Program | Fedhealth has a well-established intervention for members experiencing back and neck pain. It is based on the notion of active muscle reconditioning and is supported by clinical research that indicates that exercise decreases discomfort and can restore function in many cases. The program offers qualifying participants customized treatment and takes a thorough and holistic approach to persistent back and neck pain. Following an initial assessment, recipients may get treatment twice a week for six weeks and a home-based long-term care protocol. |
| ✳️ GoSmokeFree Smoke Cessation Program | Fedhealth encourages smokers to join up for GoSmokeFree at 200 pharmacies nationwide, including Dis-Chem, Clicks, and independent pharmacies. Smokers receive an annual GoSmokeFree benefit from risk benefits. Pre-quit assessment, support, and a smoking cessation strategy are included. |
| 📈 Health Risk Assessments | This benefit identifies members at risk of lifestyle diseases. It helps them prevent or manage them with practical advice and Scheme advantages. Participating pharmacies and BASA biokinetics offer Health Risk Assessments. |
| 💛 Hospital at Home | Fedhealth and Quro Medical’s technology-enabled Hospital at Home service offers in-patient care to patients’ homes, including real-time patient monitoring. Available in the Eastern Cape, Western Cape, Gauteng, and Bloemfontein, with further expansion planned. Fedhealth members can receive active treatment at home for a predetermined period without sacrificing care with this service. |
| ⚠️ MediTaxi | Fedhealth users with hospital authorizations in Cape Town, Johannesburg, Pretoria, and Durban can use MediTaxi. If they cannot drive after a medical procedure, members can use the 24/7 MediTaxi service to get to follow-up appointments. Limited to two annual return trips per member/beneficiary. |
| 👩⚕️ 24-Hour Nurse line | The Fedhealth toll-free 24-hour service is staffed by nurses who can advise on medical crises, symptoms, medication side effects, stress management, and teen support. |
| 🩺 Paed-IQ | Parents of children under 14 can call Paed-IQ 24/7 for advice. This service assists parents with healthcare-related childcare difficulties. |
| 😊 Sisters-on-Site | Fedhealth and SOS Corporate Wellness (Sisters-on-Site) provide nursing Sisters-on-Site to members’ workplaces. |
| 📲 SOS Call Me | Fedhealth members and their dependents receive free USSD callbacks. The service offers three options, including the following: Emergency Medical Services (EMS) Nurse Line MediTaxi |
| 💗 Weight Management Program | Fedhealth members with high BMI and waist circumference can participate in the Weight Management Plan. Members reduce weight and enjoy healthier, more fulfilling lives through a 12-week biokinetics-led intervention plan with a nutritionist and psychologist. After the program, continuous assistance and advice are offered. |
Fedhealth FlexiFED 4 Plan Exclusions and Waiting Periods
FlexiFED 4 Exclusions
Fedhealth FlexiFED 4’s exclusions include but are not limited to, the following:- Art Therapy
- Aromatherapy
- Herbalists
- Reflexology
- Therapeutic massage therapy
- Appliances, external accessories, and orthotics
- Blood, Blood Equivalents, and Blood Products
- Dentistry
- Infertility
- Maternity
- Medicine and Injectables
- And more
FlexiFED 4 Waiting Periods
Fedhealth FlexiFED 4 could apply the following waiting periods:- General Waiting periods: This is often three months, depending on your chosen medical aid plan. During this period, you must pay your regular monthly payments. However, you are not eligible for benefits except for some PMB-related claims.
- A secondary waiting period: This is typically around 12 months and pertains to therapy for any pre-existing conditions you had when you joined the program.
Fedhealth FlexiFED 4 Plan vs. Similar Plans from other Medical Schemes
| 🔎 Medical Aid | 🥇 FlexiFED 4 Hospital Plan (2026) | 🥈 Profmed ProSecure Savvy (2026) | 🥉 Momentum Extender Plan (2026) |
| 👤 Main Member Contribution | R6,620 | R4,382 | R5,544 |
| 👥 Adult Dependent Contribution | R6,042 | R4,056 | R9,748 |
| 🍼 Child Dependent Contribution | R1,991 | R1,711 | R7,173 |
| 🌎 International Cover | YES | R8 million | Up to R8 million |
Our Verdict on the Fedhealth FlexiFED 4 Plan
💙 In conclusion, FlexiFED 4 is a comprehensive medical aid plan offered by Fedhealth. It provides members with various benefits to meet their healthcare needs. The plan includes in-hospital cover, chronic medication, day-to-day benefits, network providers, and a medical savings account.
💙 Members can benefit from lower co-payments on in-hospital procedures, extended oncology cover in-hospital, higher limits for increased cover, and an optical screening benefit for kids. However, the plan may not offer comprehensive coverage in hospitals in certain areas of South Africa, which can result in higher co-payments.
💙 Despite this potential drawback, FlexiFED 4 is an excellent choice for individuals and families who want comprehensive coverage and lower co-payments for in-hospital procedures.
You might also consider the following options FedHealth has to offer:
- ✅ Fedhealth FlexiFED 1
- ✅ Fedhealth FlexiFED 2
- ✅ Fedhealth FlexiFED 3
- ✅ Fedhealth Maxima EXEC
- ✅ Fedhealth Maxima PLUS
- ✅ Fedhealth MyFED
- ✅ Fedhealth FlexiFED Savvy
