A Comprehensive health plan that covers you for approved in-hospital planned and emergency, (including Prescribed Minimum Benefits) care and a fund for day-to-day costs, that you manage - all at an affordable premium!
There are NO networks ... you choose your own hospitals, doctors and specialists!
Rated as one of the most successful open medical schemes in South Africa – as measured by the benefits provided vs. contributions, financial stability, membership size and growth, average age of beneficiaries and the service levels provided as indexed on Hellopeter.com – all Genesis members are in good hands!
One of the best value-for-money medical scheme options in South Africa, per the most recent GTC Healthcare Consulting Medical Aid Survey.
Lowest contribution increase of all open schemes for 9 consecutive years, only 4.9% for 2021!
And it pays essential dentistry, so you can use your savings on other vital out of hospital costs!
A portion of your premium goes into your fund for paying out of hospital costs..
Every 3 months, these contributions are allocated to your fund (any balance in that account is added).
Although the plan pays in-hospital costs at 2 times medical aid rates, private providers can charge more than this rate!
In order to prevent shortfalls with in-hospital costs, please look at adding a GAP COVER and TOP UP PLAN (from R234 pm).
You will then have unlimited private hospital cover, paying up to 5 times medical scheme rates.
Apart from the indirect benefit of significant cost savings on administration fees, you don’t pay VAT on administration fees; hence it has been able to boast the lowest annual contribution increases of all schemes in the open scheme market, for the past 7 consecutive years!
For FULL in hospital benefits consider adding a TOP UP PLAN from R 284 pm
Benefits are plan dependant.
Consider ONLY IN HOSPITAL and ESSENTIAL DENTAL COVER!
For FULL in hospital benefits consider adding a TOP UP PLAN from R 284 pm.
Some plans pay claims at 200% or 300% of medical aid rates, offering you a lower claim shortfall, but these are more expensive.
Increasingly, plans also have procedure co-payments, which you have to fund.
This separate insurance plan will cover most in-hospital claim shortfalls and scheme co-payments.
By adding a Top Up plan you can improve your medical aid benefits, so-much-so, that you can even consider joining a lower cost/benefit plan - with a lower premium - and still have an excellent, no risk medical aid for virtually the same premium as the higher medical aid!
TALK TO ME .... I am here to help you - AT NO CHARGE!
Send me your questions and concerns. I'll answer them for you.
We have a Facebook page as well ...
You must consult the schemes/company product brochures and rules for comprehensive benefit descriptions.
Join through us and we'll offer you instant support by email or phone.
We have a dedicated team in Genesis, there to assist you at any time AND FOR FREE!
If you go direct, you won't have this service - and it is FREE anyway!
We will offer you the BEST HELP!
Medical aid pays healthcare costs.
What if a disability STOPS your income?
Last update: May 6, 2021
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Medical Aid Authority Peter Pyburn.
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