Fedhealth Medical Aid

    Fedhealth: maxima PLUS

    Comprehensive
    2026 Plan
    From R 19 393/month

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    From 1 January 2027

    2027 prices are out

    R21 537

    main member / month

    Main member

    R19 393R21 537
    ▲ 11.1%

    Adult dependant

    R16 739R18 590
    ▲ 11.1%

    Child dependant

    R5 992R6 655
    ▲ 11.1%

    Family of four (2 adults + 2 kids): R48 116 in 2026 → R53 437 in 2027, an extra R5 321 a month.

    Source: Fedhealth 2027 Rates and Benefits Guides. Benefits shown on this page are 2026 until we load the 2027 benefit changes. Compare every 2027 increase

    Heads up: This is general information, not financial advice. Pricing is sourced from the official Fedhealth 2026 brochure but may change — always confirm directly with Fedhealth before joining.

    Monthly Contributions

    Main memberR 19 393
    Adult dependantR 16 739
    Child dependantR 5 992

    Max 3 children billed. Child rates apply up to age 27.

    Hospital Cover

    Limit: Unlimited
    Network: Any private hospital

    Chronic Cover

    62 conditions covered (27 PMB + 35 additional)
    Pharmacy: Any pharmacy (comprehensive formulary)
    Non-formulary co-pay: 25%

    Maternity

    12 antenatal consultations
    2 ultrasound scans

    Comprehensive maternity programme + private ward cover.

    Plan highlights

    • Premium executive plan with Out-of-Hospital Expenses Benefit (OHEB)
    • 62 chronic conditions covered (27 PMB + 35 additional)
    • Medical Savings Account + OHEB + Threshold benefit
    • Non-network GP refund via Threshold benefit
    • Any private hospital

    Who is maxima PLUS for?

    • Families wanting full cover with the fewest out-of-pocket surprises
    • Members with chronic conditions who see specialists regularly
    • Higher earners wanting comprehensive benefits and any-hospital access

    This is general guidance. Use our free calculator to see whether this plan matches your specific needs and budget.

    What's covered

    • Unlimited hospital cover at any private hospital
    • 62 chronic conditions (27 PMB + 35 additional)
    • 12 antenatal consultations
    • 2 pregnancy ultrasound scans
    • All Prescribed Minimum Benefits (PMB) — required by South African law

    What to watch out for

    • Non-formulary chronic medication is subject to a 25% co-payment
    • Cosmetic procedures, alternative therapies and certain elective treatments
    • Out-of-hospital costs above your annual day-to-day limit (where applicable)

    Compare with similar Fedhealth plans

    maxima EXEC

    Comprehensive
    From R 12 273/month
    62 chronic conditions
    Any private hospital
    From R 7 970/month
    44 chronic conditions
    Any private hospital
    From R 7 146/month
    44 chronic conditions
    Comprehensive network

    Frequently asked questions

    Source: Fedhealth Executive Options Rates & Benefits Guide 2026 — accessed 2026-04-28.

    All benefits and limits are per calendar year, unless otherwise stated.

    Managed Care protocols apply.

    All benefits are approved by the Council for Medical Schemes.

    PMB = Prescribed Minimum Benefits. DSP = Designated Service Provider.

    Pricing and benefits sourced from the official 2026 Fedhealth Rates & Benefits Guides. Final premiums confirmed by Fedhealth at application.