Home » Medical Aid »

Fedhealth MyFED Medical Aid Plan

Overall, the Fedhealth MyFED Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and in-hospital procedures to up to 3 Family Members. The Fedhealth MyFED Medical Aid Plan starts from R1,590 ZAR.

👤 Main Member Contribution	R1,590 – R4,676
👥 Adult Dependent Contribution	R1,590 – R4,260
🍼 Child Dependent Contribution	R677 – R1,782
↪️ Gap Cover	None
➡️ Hospital Cover	Unlimited
💙 Maternity Benefits	☑️ Yes
💶 Prescribed Minimum Benefits	☑️ Yes
🔁 Screening and Prevention	☑️ Yes
🟦 Medical Savings Account	☑️ Yes
🔵 Oncology Cover	Unlimited for PMBs

Fedhealth MyFED Plan – 7 Key Point Quick Overview

☑️ Fedhealth MyFED Plan Overview
☑️ Fedhealth MyFED Plan Contributions
☑️ Fedhealth MyFED Plan Benefits and Cover Comprehensive Breakdown
☑️ Fedhealth MyFED Plan Exclusions and Waiting Periods
☑️ Fedhealth MyFED Plan vs. Similar Plans from other Medical Schemes
☑️ Our Verdict on the Fedhealth MyFED Plan
☑️ Fedhealth MyFED Plan Frequently Asked Questions

Fedhealth MyFED Plan Overview

The Fedhealth MyFED medical aid plan is one of 8, starting from R1,590, and includes affordable medical aid cover for those with lower income. MyFED offers comprehensive in-hospital, chronic, screening, and day-to-day benefits. Gap Cover is not available on the Fedhealth MyFED Plan. However, 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

Fedhealth MyFED Plan Contributions

Fedhealth MyFED Contributions

💶 Highest Household Monthly Income	👤 Main Member	👥 Adult Dependent	🍼 Child Dependent (Max 3)
R1 – R6,251	R1,590	R1,590	R677
R6,252 – R8,550	R1,622	R1,622	R750
R8,551 – R10,219	R1,935	R1,681	R946
R10,220 – R12,622	R2,713	R2,368	R1,041
R12,623 – R14,426	R3,448	R2,842	R1,347
R14,427>	R4,676	R4,260	R1,782

Fedhealth MyFED Plan Benefits and Cover Comprehensive Breakdown

MyFED Supercharged Hospital Plan and In-hospital benefits

This benefit includes all hospital-based treatments and procedures covered by the myFED option.

📌 Overall Annual Limit (OAL)	Only available in Fedhealth network hospitals.
📍 Hospitalization Includes the following: Accommodation in a general ward, high-care ward, and intensive care unit Theatre fees Medicine Material Hospital Apparatus	Fedhealth Hospitals offer unlimited. R13 800 co-payment for voluntary usage of non-network hospitals. R2,200 co-payment for voluntary usage of non-network day surgical facilities. R3,820 co-payment for voluntary use of non-network mental health facilities.
🅰️ Healthcare Professional Tariff in-hospital (HPT)	–
Fedhealth Network GPs and Specialists	Unlimited cover.
🅱️ Non-network GPs	Covered up to the Fedhealth Rate. Limited to R2,500 per family/year.
🟥 Non-Network Specialists	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.
❤️ Hospitalisation Alternatives	–
✅ Nursing services Private nurse practitioners Nursing agencies	Unlimited according to PMB level of care.
🟩 Sub-acute facilities Physical Rehabilitation facilities	Unlimited according to PMB level of care.
🟢 Ambulance Services	Unlimited cover using Europ Assistance
💚 Appliances, external accessories, and orthotics	Unlimited according to PMB level of care.
🟪 Blood, Blood Equivalents, and Blood Products	Unlimited cover.
🟣 Immune Deficiency relating to HIV	Unlimited according to PMB level of care.
💜 Hospitalization	Unlimited according to PMB level of care.
☑️ Anti-retroviral and related medication	Unlimited according to PMB level of care.
🟦 Related Pathology	Unlimited according to PMB level of care.
🔵 Maternity	Unlimited PMB treatment. There is an R13,800 co-payment for elective Caesarean sections
💙 Oncology	Up to PMB care at Designated Service Provider and paid from Essential protocol. Non-DSP users pay a co-payment of 25%. Non-use of the Oncology Pharmacy Network and the PPL will result in a 25% co-payment for chemotherapy, cancer drugs, and consumables.
🟨 Organ Transplants	Unlimited according to PMB level of care.
🟡 Pathology and Radiology (Basic)	Unlimited cover provided.
💛 Physiotherapy	Unlimited at cost according to the PMB level of care.
🦾 Internal and external prostheses and devices	Unlimited at cost according to the PMB level of care.
🧠 Psychiatric Services	Limited to R9,700.
📈 Basic Radiology	Unlimited Cover.
📉 Specialized Radiology	Limited to R15,030 per beneficiary. There is an overall limit of R30,300 per family yearly.
📊 Renal Dialysis Consultations Visits All services, materials, and medicine associated with the cost of renal dialysis	Unlimited PMB care at Designated Service Provider (DSP). A 40% co-payment will apply where there is non-compliance with using a DSP.
🤧 Take-home medicine	Covered according to the MPL. Limited to 7 days’ medication per hospital admission.

MyFED Chronic Disease Benefits

Chronic disease coverage is unlimited (CDL).

✅ Addison’s Disease
✅ Asthma
✅ Bipolar Mood Disorder
✅ Bronchiectasis
✅ Cardiac Failure
✅ Cardiomyopathy
✅ COPD/ Emphysema/ Chronic Bronchitis
✅ Chronic Renal Disease
✅ Coronary Artery Disease
✅ Crohn’s Disease

and many more.

MyFED Screening and Prevention Benefits

️ Men’s Health
Prostate Specific Antigen (PSA): Male beneficiaries between 45 and 69, once every year.

Health Risk Assessments
Wellness screening (BMI, blood pressure, finger prick cholesterol & glucose tests): All – once every year.

Preventative screening (waist-to-hip ratio, body fat %, flexibility, posture & fitness): All – once every year.

MyFED Day-to-Day Benefits

🔎 Benefit	Limit
👩‍⚕️ General Practitioners	No overall annual limit.
👨‍⚕️ Contracted GPs	Unlimited at nominated myFED contracted GP, subject to protocols and utilization monitoring after 10 beneficiary visits per year. Beneficiaries can choose two myFED-contracted Physicians. Just two mental health consultations per beneficiary each year. MyFED allows 2 non-nominated Doctor consultations per beneficiary each year (out-of-area).
☑️ Uncontracted GPs	Limited to 2 consultations per beneficiary per year.
✅ Specialists	–
🩹 Fedhealth Network Specialists	Two specialist consultations and R2000 therapy per family every year. Contract GP referral required, or a 40% co-payment applies.
🦷 Basic Dentistry	Limited to recognized dental tariff codes, processes, and contractual dentists. Limited to one plastic denture set per beneficiary every two years.
💗 Female Contraception	The acute formulary covers contraceptives (oral and injections).
🧠 Mental Health	Subject to the Fedhealth GP Benefit Limit. Limited to two mental health consultations per beneficiary using a nominated myFED contracted GP.
🤓 Optometry	ISO Optometrists Network pays this benefit. Limited to a frame valued at R230 or R230 discount on any other frame. Single-vision or bifocal clear CR39 lenses. The benefit includes one comprehensive consultation. Beneficiaries receive this benefit for two years.
🤰 Maternity	Ultrasound according to the radiology benefit.
🟥 Pathology	Unlimited but subject to basic protocols. Limited to a list of tests and procedures. A referral from a contracted medical practitioner is required.
🟧 Prescribed Medication	–
🟨 From the Dispensing GP	Unlimited cover with the dispensing GP.
🟩 From a non-dispensing practitioner, such as a Fedhealth Network Specialist, GP, or Dentist	Unlimited. Subject to the acute formulary for all medical practitioners.
🟦 Basic Radiology	Subject to the basic protocols. Only covers specific tests and procedures. A referral from a contracted medical practitioner is mandatory.
🟪 Trauma treatment at a casualty ward	The unlimited cover is according to the Fedhealth rate. A co-payment of R750 applies per visit for non-PMB conditions or events.

You might like 5 Best Medical Aids under R1000

Fedhealth MyFED Plan Exclusions and Waiting Periods

MyFED Exclusions

Fedhealth MyFED’s exclusions include, but are not limited to, the following exclusions:

🚫 Art Therapy
🚫 Aromatherapy
🚫 Herbalists
🚫 Reflexology
🚫 Therapeutic massage therapy
🚫 Appliances, external accessories, and orthotics
🚫 Blood, Blood Equivalents, and Blood Products
🚫 Infertility
🚫 Assisted Reproductive Technology or ART
🚫 In-vitro Fertilization (IVF)
🚫 Gamete Intrafallopian Tube Transfer (GIFT), and more.
🚫 Maternity
🚫 3D and 4D scans
🚫 More than 2 2D scans unless there is a motivation for an appropriate condition.
🚫 Selected Medicine and Injectables

MyFED Waiting Periods

Fedhealth MyFED typically has 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 MyFED Plan vs. Similar Plans from other Medical Schemes

🔎 Medical Aid Plan	🥇 Fedhealth MyFED	🥈 Medihelp MedMove!	🥉 Discovery Health Essential Dynamic Smart
👤 Main Member Contribution	R1,590 – R4,676	R1,254	R1,565
👥 Adult Dependent Contribution	R1,590 – R4,260	R1,254	R1,565
🍼 Child Dependent Contribution	R677 – R1,782	R1,254	R1,565
🟦 Hospital Cover	Unlimited	Unlimited	Unlimited
💶 Prescribed Minimum Benefits	☑️ Yes	✅ Yes	☑️ Yes
📉 Screening and Prevention	✅ Yes	☑️ Yes	✅ Yes
➡️ Medical Savings Account	✅ Yes	None	None
↪️ Chronic Conditions	✅ Yes	☑️ Yes	✅ Yes
💙 Home Care	None	None	☑️ Yes

Our Verdict on the Fedhealth MyFED Plan

MyFED medical plan from Fedhealth is a comprehensive medical aid scheme offering its members various benefits and features. One of this plan’s key advantages is covering various medical services, including hospitalization, chronic medication, and day-to-day medical expenses. Additionally, MyFED members have access to a network of healthcare providers whom Fedhealth has carefully selected to ensure that they offer high-quality care at affordable prices. Another advantage of the MyFED medical plan is that it offers members a range of wellness and preventative care benefits, such as free annual health screenings, flu vaccinations, and smoking cessation programs.

These benefits can help members maintain their health and prevent the onset of chronic conditions, ultimately saving them money on healthcare costs in the long term. However, one of the potential disadvantages of the MyFED plan is that its benefits are not as comprehensive as they would like, particularly if they require more specialized medical services or treatments.

You might also consider the following options FedHealth has to offer:

Fedhealth MyFED Plan Frequently Asked Questions

What is the MyFED medical plan from Fedhealth?

The MyFED medical plan from Fedhealth is a comprehensive medical aid scheme covering various medical services, including hospitalization, chronic medication, and day-to-day medical expenses.

What are the advantages of the MyFED medical plan?

One of the key advantages of the MyFED medical plan is that it covers a wide range of medical services, including preventative care benefits such as free annual health screenings and flu vaccinations.

Are there any disadvantages to the MyFED medical plan?

Several limitations apply to the MyFED plan because it is extremely basic coverage for low-income families in South Africa. Additionally, more advanced screenings and prevention, such as smoking cessation programs, are not available on MyFED.

How can I sign up for the MyFED medical plan?

To sign up for the MyFED medical plan, visit the Fedhealth website or contact their customer service department. You will need to provide some personal and medical information and choose a plan that best suits your needs and budget.

Does Fedhealth offer other healthcare coverage options besides the MyFED medical plan?

Yes, Fedhealth offers a range of healthcare coverage options to suit the needs and budgets of different individuals and families. These options include hospital, comprehensive, and savings plans, among others.

Are there any discounts or promotions available for the MyFED medical plan?

Fedhealth does not offer discounts or promotions on the MyFED medical plan.

Adriaan Schoeman

Adriaan holds an MBA and specializes in medical aid research. With his commitment to perfection, he ensures the accuracy of all data presented on medicalaid.com every three months. When he is not conducting research, Adriaan can be found indulging in his passion for trout fishing amidst nature.