Genesis - Private Comprehensive Medical Aid Plan

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
benefit: R8 160 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

Savings

Contributions

Contributions

Per Adult: R2 715

Per Child: R550

 

 

 

 

 

 

 

 


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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