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.

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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	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	Subject to self managed fund

Contributions

Contributions	Member: R2 640 Per Adult: R2 640 Per Child: R530

Member: R2 640
Per Adult: R2 640
Per Child: R530

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