Genesis - Private Comprehensive
Private Comprehensive is ideal for big families requiring good out-of-hospital cover. Hospital benefits are unlimited and the plan 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 Major Medical Illness benefit. R550 000* per beneficiary paid up to 200% of Scheme Tariff / Rate. Sub-limit of R250 000 for out of Hospital Cover (MRI / CT / PET Scans, Pathology, materials etc.) * Combined benefit for stroke, motor neuron, organ transplant & cancer. Dialysis: R300 000 per family Internal Prosthesis: 100% of cost up to R30 000 per beneficiary per annum |
| Chronic |
26 PMBs |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
Self managed fund |
|---|---|
| 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 |
Savings |
Contributions
| Contributions |
Per Adult: R2 715 Per Child: R550
|
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