Genesis - Private Choice Medical Aid Plan

Genesis - Private Choice

The Genesis Private Choice hospital plan supplies unlimited in-hospital benefits at 100% of scale of benefits at any provider of your choice. Cover includes some basic dentistry. This is a good family plan, with only R370 payable per child.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% of scheme rate

Provider

Any hospital

GP's & Specialists

GP's & Specialists: Unlimited at 100% of rate
Radiology & Pathology: 100% of Medical aid rate
Oncology: Major Medical Illness benefit. R50 000 per beneficiary/ PMB's at state
Organ Transplants: Major Medical Illness benefit and PMB's at state
Dialysis: No benefit
Internal Prosthesis: 50% of cost up to R20 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 150
Per Child: R390

 

 

 

 

 

 

 

 


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

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