Our Benefits 2012

We provide our members with a range of benefit options that best suit their / their family's unique needs. All our plans offer excellent hospital and medical benefits at very competitive and affordable rates. In particular, families with children benefit from our low cost child premiums. 

2012_rates_table

Members can choose from the following four benefit options:

1. Private Choice 

The Private Choice option is designed as a low-cost benefit option for members who require unlimited hospital cover*, at any private or state hospital of their choosing within South Africa**, covered at Scale of Benefits.  Apart from the excellent in-hospital benefits, this option also includes substantial benefits for basic dentistry (R25 000 per beneficiary p.a. - a separate benefit covered from risk and not from the member's own pocket). In addition, this option also covers emergency medical evacuation, in-hospital cover for certain major medical illnesses* and includes cover for 25 chronic conditions.

For only R750 per adult per month this option is ideal for young individuals / families with limited disposable income who require a good hospital plan with additional benefits for basic dentistry.  You will only pay R320 per month for your first child dependant.  All other child dependants will only cost R60 each per month.

(*) Certain sub-limits may apply as per the Scheme Rules.

(**) Statutory prescribed minimum benefits in private hospitals covered as per Scheme Rules;  in public or state hospitals, benefits as prescribed by law.

2. Private

The Private option is designed
for members who require unlimited hospital cover*, at any private or state hospital of their choosing within South Africa**, covered at the Genesis Private Rate.  Apart from the rich and comprehensive in-hospital benefits, this benefit option also provides cover for the in and out of hospital treatment for certain major medical illnesses, certain diagnostic scopes and includes substantial benefits for basic dentistry (R25 000 per beneficiary p.a. - a separate benefit covered from risk and not from the member's own pocket). In addition, this option also covers emergency medical evacuation and includes cover for 25 chronic conditions.

For only R1 115 per adult per month, this option is ideal for any member who requires a hospital plan with substantial hospital cover and benefits for basic dentistry.  You will only pay R320 per month for your first child dependant.  All other child dependants will only cost R60 each per month.

(*) Certain sub-limits may apply as per the Scheme Rules.

(**) Statutory prescribed minimum benefits in private hospitals covered as per Scheme Rules;  in public or state hospitals, benefits as prescribed by law.

3. Private Plus

The Private Plus option is designed for members who
require unlimited hospital cover*, at any private or state hospital of their choosing within South Africa**, covered at the Genesis Private Rate.  Apart from the rich and comprehensive in-hospital benefits, this benefit option also provides cover for the in and out of hospital treatment for certain major medical illnesses, certain diagnostic scopes and includes substantial benefits for basic dentistry (R25 000 per beneficiary p.a. - a separate benefit covered from risk and not from the member's savings account or own pocket). In addition, this option also covers emergency medical evacuation and includes cover for 25 chronic conditions.

The Private Plus option is further designed for members who require some limited day-to-day cover (by way of a medical savings account).

For only R1 360 per adult per month, this option is ideal for any member who requires a medical aid that offers substantial hospital cover, cover for basic dentistry and a medical savings account to pay for the day-to-day medical expenses. You will only pay R320 per month for your first child dependant. All other child dependants will only cost R60 each per month.

(*) Certain sub-limits may apply as per the Scheme Rules.

(**) Statutory prescribed minimum benefits in private hospitals covered as per Scheme Rules;  in public or state hospitals, benefits as prescribed by law.

4. Private Comprehensive

The Private Comprehensive option is designed for members
who require unlimited hospital cover*, at any private or state hospital of their choosing within South Africa**, covered at the Genesis Private Rate. Apart from the rich and comprehensive in-hospital benefits, this benefit option also provides cover for the in and out of hospital treatment for certain major medical illnesses, certain diagnostic scopes and includes substantial benefits for basic dentistry (R25 000 per beneficiary p.a. - a separate benefit covered from risk and not from the member's savings account or own pocket). In addition, this option also covers emergency medical evacuation and includes cover for 25 chronic conditions.

The Private Comprehensive option is further designed for members who require extensive day-to-day cover (by way of a medical savings account plus other additional benefits). In addition to the generous medical savings account, this option offers members ample cover for consultations (at any practitioner registered with the Health Professions Council of SA) and cover for medication - both prescribed and over-the-counter.

For only R1 965 per adult per month, this option is ideal for any member who requires a medical aid that offers both substantial hospital cover, cover for basic dentistry and generous day-to-day benefits. You will only pay R320 per month for your first child dependant. All other child dependants will only cost R60 each per month.

(*) Certain sub-limits may apply as per the Scheme Rules.

(**) Statutory prescribed minimum benefits in private hospitals covered as per Scheme Rules;  in public or state hospitals, benefits as prescribed by law.

Find out which of our product options is best for you and what your monthly contributions will be