Fedhealth Medical Aid Online Application

Name of the Organization : Fedhealth

Type of Facility : Fedhealth Medical Aid Online Application

Head Office : Randburg

Website : http://www.fedhealth.co.za

Application Form : https://admin.medscheme.co.za/2013/Fedhealth/Apps/Membership/None

Fedhealth Medical Aid Online Application Form

Your essential medical aid cover includes :

** Unlimited private hospital cover at Network Hospitals

** Post-hospitalisation treatment for up to 30 days after discharge

Related : Universal Healthcare Administrators How to Join CompCare Wellness Medical Scheme : www.sanotify.com/2558.html

** 7 days of take-home medication

** Specialised radiology like MRI and CT scans

** Trauma treatment at a casualty ward whether you’re admitted to hospital or not

** Contracted fixed rates at Fedhealth Network Specialists – while under the care of a network specialist in hospital, your treatment will be covered in full

You also get these unique benefits and value adds :

** Chronic medicine cover for 25 Prescribed Minimum Benefit (PMB) chronic conditions

** Cover for non-Fedhealth contracted healthcare professionals up to 100% of the Fedhealth rate

** An innovative screening benefit that covers specific women’s, children’s and cardiac health, as well as wellness and preventative screenings.

** NEW!! Female oral contraceptives covered

** Free flu vaccinations for the whole family!

Declaration By Principal Member

** I, the undersigned hereby apply for membership of Fedhealth Medical Scheme (the Scheme) and also nominate my dependants as specified.

** I hereby undertake to observe and carry out the provisions of the Medical Schemes Act 131 of 1998 (the Act) and of the rules of the Scheme as amended from time to time.

** I agree that the Scheme shall not be bound in any way by any representations or undertakings made or given by any person or agent which is in contradiction with the registered rules of the Scheme.

** I further agree that the commencement of my membership and the liability of the Scheme as a result of this application is conditional upon the first contribution being paid and received by the Scheme. In addition, should I default on payment of any subsequent contributions, and fail to remedy such default within the time periods allowed in the rules, any benefits paid by the Scheme on my behalf after the receipt of my last contribution shall be reversed and payment of these claims shall be for my account.

** I accept any penalties/ waiting periods that may be applied in accordance with the Act. I understand that these waiting periods may include a 3 month general waiting period, a 12 month waiting period for pre-existing conditions and, if applicable, a late joiner penalty fee.

** I hereby authorise the Scheme to deduct from my salary or any other available funds via debiting of my bank account, all contributions or any other amounts that may become due by me in terms of the Scheme’s rules. In the event of arrears, I will be responsible for any legal costs that may arise in the recovery thereof.

** It is my sole responsibility as a member to ensure that the monthly contribution is received by the Scheme.

** I hereby acknowledge that any credit extended by the Scheme to myself or my dependants whilst a member of the Scheme will become payable in full on termination of my membership and that interest may be charged on all amounts due and owing to the Scheme.

** I acknowledge that the Scheme may obtain any information regarding myself from any credit bureau, national loans register, South African Fraud Prevention Service or any other agent I have dealt with, with regards to my profile and credit history.

** I understand that the Scheme may provide written notification, to my e-mail address, failing which, my financial adviser’s e-mail address as supplied by my financial adviser, of changes to its rules.

** I acknowledge that non-disclosure of any information by myself or my dependants relevant to the assessment of this application shall render any contracts to which this application relates null and void, and all contributions paid by me shall be forfeited to the Scheme. In such events, the Scheme shall be entitled to reclaim any amounts which they may have paid to me or any person on my or my dependants’ behalf under such contracts.

** Should there be any additional information required by the Scheme which is not received within 7 days, the Scheme will automatically suspend the application.

** I acknowledge that I am not a member of more than one medical aid.

** I hereby authorise the Scheme or any of its nominated representatives to confirm my bank details.

** I acknowledge that a monthly commission of 3% of my total monthly contribution up to a maximum, as legislated from time to time, will be paid to the financial adviser in terms of the Medical Schemes Act 131 of 1998 (or as amended).

** I agree to provide the Scheme with 3 months’ written notice to inform Fedhealth of my intention to terminate my membership.

** I acknowledge that it is my responsibility to notify the Scheme of any changes to the facts, or any changes in my or my dependants’ state of health, between the date of signing this application form and the date when my membership commences. If this is not done before my membership commences, future claims may be rejected.

** I hereby confirm that I understand the various partnership arrangements (either Designated Service Provider and/ or Preferred Provider) applicable to my option and am aware that co-payments and/ or lower reimbursement rates may apply to the non-use of Fedhealth partners.

** I declare that this personal statement, whether completed by myself or not is complete, true and correct and that I have not concealed, withheld or misstated any material facts.

Contact Address

Postal Address:

Private Bag X3045,

Randburg, 2125

Contact Number: 0860 002 153

Email Address: member AT fedhealth.co.za