Genesis - Private Comprehensive Medical Aid Plan

Genesis - Private Comprehensive

Private Comprehensive is a good option for big families requiring good out of hospital cover. Hospital benefits are unlimited while the plan also offers extensive day-to-day cover for consultations and medication.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% 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

Self managed fund
benefit: R7620 per adult

Pooled Day to Day Benefit

Basic dentistry is additional and limited

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

Subject to self managed fund

Contributions

Contributions

Per Adult: R2 400
Per Child: R455

 

 

 

 

 

 

 

 


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