Fedhealth Medical Scheme

Fedhealth Medical Scheme is a South African medical aid scheme for individuals, families, and employers that offers customisable health cover across different needs and budgets.

Key capabilities and benefits include:

• Plan options for different budgets and life stages, including flexiFED Hospital Plans, flexiFED Savings Plans, myFED (salary-banded starter cover), and Executive Plans (with a Medical Savings Account and threshold benefit on applicable options).
• Network-based hospital and GP access, including unlimited network hospital cover on plans that use the GRID option and unlimited contracted GP visits on myFED.
• Member self-service for day-to-day administration, including claims submission, pre-hospitalisation authorisation, tax certificate access, provider search tools, and chronic medication information and formularies.
• Additional member support and services, such as virtual walk-in consultations, international travel insurance for members, and an AI agent (Naledi) to help with plan selection and general queries.

Available on Web (fedhealth.co.za), a member portal for authorisations (member.fedhealth.co.za), and the Fedhealth Member App on Android and iOS.

Target users include South African consumers shopping for medical aid cover and employers offering corporate medical aid to employees.

Notable in South Africa for its GRID hospital network, described as the country’s second largest and featuring partnerships with Mediclinic and Netcare facilities, plus multiple digital support channels including app chat, WhatsApp support, and an AI assistant.