Genesis - Private Medical Aid Plan

Genesis - Private

Genesis Private shares all the major benefits of Private Plus and Private Comprehensive, including limited cover for dialysis and mental health. This is a good plan for big families that only require a hospital plan, with R415 payable per child.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% of scheme rate

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited up to 200% of rate
Radiology & Pathology: 100% of Medical aid rate
Oncology: Major Medical Illness benefit. R550 000 with sub-limit of R225 000 per beneficiary
Organ Transplants: Major Medical Illness Benefit - medication limit of R84 000 per family
Dialysis: R300 000 per family
Internal Prosthesis: 100% of cost up to R30 000 per beneficiary per annum

Chronic

25 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

No benefit for consultations

Contributions

Contributions

Per Adult: R1 665
Per Child: R455

 

 

 

 

 

 

 

 


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