Genesis - MED-200 Medical Aid Plan

Genesis - MED-200

An attractive hospital plan that covers private hospital care at any hospital (no networks) plus generous cover for basic dentistry and cover for out-of-hospital X-rays, scans and diagnostic endoscopy.

The MED-200 plan covers in-hospital doctors and specialists at up to 200% of the scheme rate.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% of scheme rate

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited

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

Oncology: R550 000(Pooled benefit) limits apply R250 000 of this can be used for meds

Organ Transplants: (Pooled benefit R550 000, limit of R84 000 for meds per person per year

Dialysis: R300 000

Internal Prosthesis: R30 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 200% of Scheme Tariff / Rate. Out of Hospital: No Benefit

Contributions

Contributions

Member: R 2130

Adult: R 2130

Per Child: R 610

 

 

 

 

 

 

 

 


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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