Fedhealth vs. Sizwe Hosmed Medical Fund
Fedhealth versus Sizwe Hosmed Medical Fund compared and revealed.
We tested them side by side and verified their medical aid plans benefits, affordability, and much more.
This is a complete guide to Fedhealth and Sizwe Hosmed Medical Fund in South Africa.
In this in-depth guide you’ll learn:
- What is a Medical Scheme?
- Which medical aid is the best for young families?
- Which medical aid is best for a young person?
- How to compare medical aids against each other?
- Which should you choose: Fedhealth or Sizwe Hosmed Medical Fund?
So if you’re ready to go “all in” with the Fedhealth versus Sizwe Hosmed Medical Fund in South Africa, this guide is for you.
Let’s dive right in…
Fedhealth vs. Sizwe Hosmed Medical Fund Summary
Overall Comparison
| ✅ Feature | 🥇 Fedhealth | 🥇 Sizwe Hosmed Medical Fund |
| General comparison | 5/5 | 4/5 |
| Number of plans | 7 | 14 |
| Lowest premium | R965.00 (FlexiFED Savvy) | R1 870.00 (Essential Copper) |
| Highest premium | R14 289.00 (maxima PLUS) | R8 415.00 (Titanium Executive) |
| Student Plan | No | No |
| Gap Cover | No | Yes |
| Hospital plans | Yes | Yes |
| Maternity benefits | Yes | Yes |
| Number of members | 200 000+ | 172 000 |
Plan benefits
| ✅ Feature | 🥇 Fedhealth | 🥇 Sizwe Hosmed Medical Fund |
| Name of Plan | • FlexiFED Savvy • FlexiFED 1 • FlexiFED 2 • FlexiFED 3 • FlexiFED 4 • Maxima EXEC • Maxima PLUS | • Essential Copper (3X) • Access Core • Access Saver 25 • Silver Hospital • Gold Ascend • Gold Ascend EDO • Value • Value Core EDO • Plus • Platinum Enhanced • Platinum Enhanced EDO • Titanium Executive |
| Price per plan | • FlexiFED Savvy: R965.00 • FlexiFED 1: R1 716.00 • FlexiFED 2: R2 491.00 • FlexiFED 3: R2 844.00 • FlexiFED 4: R3 805.00 • Maxima EXEC: R8 456.00 • Maxima PLUS: R14 289.00 | • Essential copper: R1 870.00 – R2 839.00 (depending on your income) • Access Core: R2 418.00 • Access Saver 25: R3 092.00 • Silver Hospital: TBC • Gold Ascend: R3 418.00 • Gold Ascend EDO: R3 250.00 • Value: R4 401.00 • Value Core EDO: R4 051.00 • Plus: R7 227.00 • Platinum Enhanced: R4 747.00 • Platinum Enhanced EDO: R4 511 • Titanium Executive: R8 415.00 |
| GP Visits | Network GP | Yes |
| GP in room visits | Network GP | Yes |
| Specialist visits | Yes | Yes |
| Acute medication | Yes | Yes |
| Chronic medication | Yes | Yes |
| Basic pathology | Basic from day to day benefits | Yes |
| Basic and emergency dentistry | Basic from day to day benefits | Yes with pre-authorization |
| HIV benefit | Yes | Yes depending on the plan you choose |
| Maternity benefit | Yes | Yes |
| Road accident claims | Yes | No |
Fedhealth vs Sizwe Hosmed Medical Fund
👉 Both Fedhealth and Sizwe Hosmed Medical Fund are known medical aid schemes that provide a comprehensive selection of tailored plans. Here, we compare in these two medical aid schemes to help you decide on the best option for your healthcare needs in 2024.
Which offers more affordable cover – Fedhealth or Sizwe Hosmed Medical Fund?
👉 Although Fedhealth has the lowest premium with its FlexiFED Savvy plan, both medial aids offer a choice between various affordable plans. However, Sizwe Hosmed Medical Fund offers a wider choice between the plans on offer.
👉 Overall, both Fedhealth and Sizwe Hosmed Medical Fund offers a good selection of affordable medical aid plans designed for singles, couples, families, and pensioners.
Do both schemes offer gap cover?
👉 Gap coverage is a short-term insurance policy that provides shortfall coverage when doctors and specialists charge fees in excess of those covered by medical assistance. Gap coverage complements your medical aid coverage.
👉 In exchange for a monthly premium, the gap cover provider will compensate you for a portion of the difference between your medical expenses and what your medical insurance would cover. If you use a healthcare provider who is not in your medical plan’s network, you may pay more for private hospital services than your plan would cover.
👉 Fedhealth does not offer Gap Cover options within the medical scheme but advise you to take out gap cover from an independent insurer.
👉 Sizwe Hosmed Medical Fund does not make provision for gap cover.
Do both schemes offer hospital plans?
👉 Yes, both Fedhealth and Sizwe Hosmed Medical fund offer hospital plans. Fedhealth’s hospital plans cover the treatment costs if you’re admitted to hospital such as ward costs, theatre fees, and accounts from other in-hospital providers such as anesthetists or radiologists.
👉 Hospital plans also typically cover emergency medical expenses, whether you are admitted to hospital or not. To qualify as an emergency, the condition or event must be unexpected and need immediate treatment, for example treatment in the casualty ward of a hospital, trauma counselling or emergency medical services.
👉 All of Sizwe Hosmed Medical Fund’s plans come with hospital plans that will pay for the costs of your care if you are admitted to the hospital, including ward costs, theatre fees, and accounts from other in-hospital providers like anesthesiologists or radiologists.
Who is Fedhealth?
👉 Since 1936, South Africans have received health care from Fedhealth. Although a lot has changed over the years, the organisation’s dedication to offering inexpensive, high-quality healthcare has not.
👉 Even today, its medical assistance is still administered by members for members, and it is continually evolving to meet the requirements of those who are concerned about their health while navigating a world that is changing quickly.
👉 Fedhealth has maintained a Global Credit Rating of AA- for 14 consecutive years, and with reserves well over the required 25%, the Scheme’s healthy financial position enables it to take care of its members when needed most.
👉 At Fedhealth it is all about customisation and allowing its clients to enjoy medical aid that you can create and control.
👉 Fedhealth is known for its unique benefits paid from Risk to help members’ day-to-day benefits stretch even further. These include upgrades any time of the year within 30 days of a life-changing event, child rates for financially dependent children up to the age of 27, and unlimited network GP visits.
Fedhealth offers 8 medical aid plans
Who will benefit from Fedhealth?
👉 Fedhealth offers comprehensive medical cover that is well-suited towards individuals, families and pensioners. It offers a fair amount of comprehensive plans, with great coverage that is affordable and start a very low plan for individuals just starting out in the professional world.
👉 Fedhealth also works on a network-based coverage basis, so that individuals should first check whether they reside in areas that fall within the pre-selected GP, hospital and specialist network, making it a good option for those residing in urban areas.
Who is Sizwe Hosmed Medical Fund?
👉 Sizwe Medical Fund was founded in 1978. The Fund is essentially a South African company that in many ways mirrors a South African story. Hosmed Medical Scheme was founded in 1998. The two medical aids merged to form Sizwe Hosmed Medical Fund.
👉 The Group’s goals in creating the Fund were to lead the black people in healthcare issues and to offer medical aid coverage for all races. Black specialists can now launch their own private practises because to this. Additionally, it allowed black private patients and their doctors access to pricey drugs, X-rays, and other investigations that were beyond of reach for almost everyone without medical aid coverage.
👉 Sizwe Hosmed Medical funds’ footprint stretches nationwide and itis accepted by all service providers. It guarantees unlimited hospitalisation on all options for PMB conditions. The collective value of Hosmed day-to-day benefits per option compares well with the rest of the industry.
👉 It offers optometry, dentistry, pathology and radiology benefits per person, no matter how big your family is. Additionally, it includes a wellness benefit for all beneficiaries on all options as well as access to a 24-hour call centre, including telephonic nurse advice emergency and nonemergency transfer.
👉 Overall the scheme offers a traditional, sound healthcare solution for all South Africans.
Who will benefit from Sizwe Hosmed Medical Fund?
👉 With Sizwe Hosmed Medical Fund, you have access to a wide range of medical aid options and industry-leading benefits for individuals as well as the whole family.
Sizwe Hosmed offers 12 medical aid plans
- ✅ Sizwe Hosmed Value Core
- ✅ Sizwe Hosmed Titanium Executive
- ✅ Sizwe Hosmed Silver Hospital
- ✅ Sizwe Hosmed Plus
- ✅ Sizwe Hosmed Platinum Enhanced
- ✅ Sizwe Hosmed Platinum Enhanced EDO
- ✅ Sizwe Hosmed Gold Ascend
- ✅ Sizwe Hosmed Gold Ascend EDO
- ✅ Sizwe Hosmed Value
- ✅ Sizwe Hosmed Essential Copper
- ✅ Sizwe Hosmed Access Saver 25
- ✅ Sizwe Hosmed Access Core
Frequently Asked Questions
Which medical aid offers the cheapest medical plan, Fedhealth or Sizwe Hosmed Medical Fund?
The cheapest medical aid plan between these two is Fedhealth’s FlexiFED Savvy plan with a monthly premium of R945.00
How many medical aid plans does Fedhealth provide vs Sizwe Hosmed Medical Fund?
Fedhealth offers a choice between seven medical plans whereas Sizwe Hosmed Medical Fund offers a choice between fourteen medical plans.
Do Fedhealth and Sizwe Hosmed Medical Fund medical aids offer the option of gap cover?
Neither Fedhealth or Sizwe Hosmed Medical Fund offer the option to apply for gap cover but advises the members apply for gap cover from an independent insurer.
Do Fedhealth and Sizwe Hosmed Medical Fund medical aids have a waiting period?
Yes, both Fedhealth and Sizwe Hosmed Medical Fund have a general three-month waiting period during which you are unable to submit a claim.
Does Fedhealth and Siswe Hosmed Medical Fund have hospital plans?
Yes, both Fedhealth and Siswe Hosmed has the option of a Hospital plan.
