2012 Fedhealth Medical Aid Quote

Should you wish to get an idea of what a Fedhealth medical aid will cost, please complete the blocks below and send to me.
I will send you costs, based on your plan selection - no obligation at all.

GOTO FEDHEALTH MEDICAL AID for full details.

Your Details

Do you have to join your company medical aid scheme or can you choose a scheme?
Company scheme
Own

Your email address:
Your telephone/cell number:
Your name and surname:
Your Date of Birth:
Your partner's name and surname (if required):
Your partner's Date of Birth:
First child's name:
Child's Date of Birth:
Second child's name:
Child's Date of Birth:
Third child's name:
Child's Date of Birth:
Any OTHER (NOT ALREADY STATED ABOVE) dependants - adults or children you want to add?

Type of plan. Please select from the following;

MAXIMA PLUS Unlimited private hospital cover at any hospital. No shortfall with network specialists. No Co-payments with included top up. In and out of hospital MRI/CT scans. Day-to-day cover with unlimited network GP consults, trauma counselling, 30 days post-hospitalisation treatment. 51 chronic conditions. Exclusions and sub - limits apply, see brochure. Average monthly single rate R 3,939 and family of 4 R 9,652 pm Co-Pay extra R 90 pm	Yes
MAXIMA EXECUTIVE Unlimited private hospital cover at any hospital. No shortfall with network specialists. No Co-payments with included top up. In and out of hospital MRI/CT scans. Day-to-day cover with unlimited network GP consults, trauma counselling, 30 days post-hospitalisation treatment. 51 chronic conditions. Exclusions and sub - limits apply, see brochure. Average monthly single rate R 2,343 and family of 4 R 5,737 pm Co-Pay extra R 90 pm	Yes
MAXIMA STANDARD Unlimited private hospital cover at any hospital. No shortfall with network specialists. No Co-payments with included top up. In and out of hospital MRI/CT scans. Day-to-day cover with unlimited network GP consults, trauma counselling, 30 days post-hospitalisation treatment. 39 chronic conditions. Exclusions and sub - limits apply, see brochure. Average monthly single rate R 1,909 and family of 4 R 4,679 pm Use network hospitals Average monthly single rate R 1,735 and family of 4 R 4,253 pm Co-Pay extra R 90 pm	Yes
MAXIMA BASISUnlimited private hospital cover at any hospital. No shortfall with network specialists. No Co-payments with included top up. In and out of hospital MRI/CT scans. Day-to-day cover with unlimited network GP consults, trauma counselling, 30 days post-hospitalisation treatment. 25 chronic conditions. Exclusions and sub - limits apply, see brochure. Average monthly single rate R 1,547 and family of 4 R 3,796 pm Co-Pay extra R 90 pm	Yes
MAXIMA CORE HOSPITAL ONLY - Unlimited private hospital cover at any hospital. No shortfall with network specialists. No Co-payments with included top up. In and out of hospital MRI/CT scans. Trauma casualty. 25 chronic conditions. Exclusions and sub - limits apply, see brochure. Average monthly single rate R 1,251 and family of 4 R 3,055 pm Co-Pay extra R 90 pm	Yes
ENTRYZONE - IN NETWORK HOSPITAL ONLY - Unlimited network hospital cover. No Co-payments with included top up. Trauma casualty. In and out of hospital MRI/CT scans. 25 chronic conditions. PMB benefit limits. Exclusions and sub - limits apply, see brochure. Average monthly single rate R 904 and family of 4 R 2,066 pm Co-Pay extra R 90 pm	Yes

Any other information we should know about?

Your current medical aid plan (if any): Please state the actual plan as well.

Would you like to receive my informative letter on personal financial matters? Yes

NEED A FEDHEALTH MEDICAL AID APPLICATION? Please go here

Please note:

• The submission of this request does not constitute any legal obligation, either on your or Peter J Pyburn's behalf.
  It is simply a request to get some medical aid options.
• All information provided will be strictly confidential at all times and will be freely transmitted to the email address provided.
  Peter J Pyburn will not be responsible should the information be incorrectly transmitted or not reach the correct recipient.
• Your email address will never be given to any other person or organisation.
  (I would never be in business if this happened!)
• YOU MUST CONSULT THE SCHEMES BROCHURES FOR COMPREHENSIVE BENEFIT DESCRIPTIONS AND CONSULT THE SCHEME DIRECTLY FOR ANY UNDERWRITING CONCERNS.
• AT ALL TIMES, THE SCHEME RULES WILL OVERRIDE ANYTHING PETER J PYBURN HAS SAID OR WRITTEN AND AS SUCH YOU AGREE WITH THE DISCLAIMER AS PRESENTED IN THE QUOTE/S YOU HAVE ACTED UPON.

I confirm that I have read and understood the notes above. Yes

pyburn@peterpyburn.co.za