Genesis - MED-100 Medical Aid Plan

Genesis - MED-100

An affordable hospital plan that covers private hospital care at any hospital (no networks) and that includes generous cover for basic dentistry.

The MED-100 plan covers in-hospital doctors and specialists at up to 100% of the scheme rate.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% of scheme rate

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited, covered at 100% of the Bonitas Rate

Oncology: PMB's

Organ Transplants: PMB's

Dialysis: No cover at preferred provider

Internal Prosthesis: 50% of cost up to R20,000

Chronic

26 PMBs

Out of Hospital Benefits

Saving / Day to Day / OHEB

Not applicable

Pooled Day to Day Benefit

Basic dentistry with limits

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

In Hospital: Paid at cost and up to 100% of Scheme Tariff / Rate. Out of Hospital: No Benefit

Contributions

Contributions

Member: R 1530

Adult: R 1530

Per Child: R 490

 

 

 

 

 

 

 

 


Finding it difficult to make sense of all this? Not to worry, you can:

Finding it difficult to make sense of all this? Not to worry, you can:

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