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genesis medical scheme

Affordable
MEDICAL AID Cover

As a leading medical scheme in South Africa, we have been providing exceptional value-for-money medical aid cover and peace of mind since 1995

Our Benefit Options

med 100

MED-100

Our MED-100 hospital plan has been rated as one of the best value for money hospital plans in South Africa.

 

This entry-level benefit option is ideally suited for younger individuals/ families seeking access to affordable in-hospital private medical cover.

 

Provides unlimited in-hospital cover for planned and emergency hospital admissions. Doctors/specialists are covered at 100% of the Scheme Tariff.

 

Out-of-hospital benefits for cancer are limited to PMB treatment from Designated Service Providers (DSPs) only.

 

Includes a variety of generous basic dentistry benefits. In- and out-of-hospital benefits are covered by the Scheme at 100% of the Scheme Tariff.

 

Also includes preventative screening benefits such as mammograms, cervical (PAP) smears and prostate specific antigen (PSA) tests.

 

All other day-to-day healthcare expenses are self-funded.

From R1 610 pm

med 200

MED-200

This benefit option is ideally suited for individuals/families seeking a wider range of, and more inclusive, mainly in-hospital private medical cover.

 

Provides unlimited in-hospital cover for planned and emergency hospital admissions.

 

Doctors/specialists are covered at 200% of the Scheme Tariff.

 

Includes a variety of generous basic dentistry benefits. In- and out-of-hospital benefits are covered by the Scheme at 100% of the Scheme Tariff.

 

Includes out-of-hospital cover for plain radiography (i.e. X-rays and ultra-sound)/MRI/CT scans.

 

Includes benefits for colonoscopies and gastroscopies, as well as preventative screening benefits such as mammograms, cervical (PAP) smears and prostate specific antigen (PSA) tests.

 

All other day-to-day healthcare expenses are self-funded.

From R2 255 pm

med 200 plus

MED-200 Plus

Our MED-200 Plus benefit option provides the same in-hospital/ risk benefits as our MED-200 option, but has additional day-to-day (out-of-hospital) benefits in the form of a Self Managed Fund (SMF).

 

This benefit option is ideally suited for individuals/families seeking a wider range of, and more inclusive, in- and out-of-hospital private medical cover.

 

Provides unlimited in-hospital cover for planned and emergency hospital admissions.

 

Doctors/specialists are covered at 200% of the Scheme Tariff.

 

Includes a variety of generous basic dentistry benefits. In- and out-of-hospital benefits are covered by the Scheme at 100% of the Scheme Tariff.

 

Includes out-of-hospital cover for plain radiography (i.e. X-rays and ultra-sound)/MRI/CT scans.

 

Includes benefits for colonoscopies and gastroscopies, as well as preventative screening benefits such as mammograms, cervical (PAP) smears and prostate specific antigen (PSA) tests.

 

Additional day-to-day healthcare expenses are funded by a generous Self Managed Fund (SMF) facility (R9 900 per adult per annum).

From R3 200 pm

genesis medical scheme

Why choose
Genesis Medical Scheme?

Since 2013, no medical scheme in South Africa could beat our low contribution increases.

We have a really great story to tell!

With a proud heritage spanning since 1995, Genesis Medical Scheme has an intimate and profound understanding of private healthcare in South Africa.

As one of the leading medical aid schemes in South Africa, we have a proud legacy of providing our members with access to exceptional healthcare funding benefits at very affordable rates.

Rated as one of the most successful open medical schemes in South Africa (*)  –  as measured by the benefits we provide vs contributions levied, our solvency and net healthcare results (in other words, our financial stability), our membership size and growth, the average age of our beneficiaries and services levels we provide to our members as indexed on Hellopeter.com – all Genesis members are in good hands.

(*) – The GTC Medical Aid Survey

We are the SMART choice

premium benefits at fair rates

Premium benefits
at fair rates

we are the people's choice

We are the
people's choice

known for lowest increases

Known for lowest increases

choose your trusted doctor or hospital

Choose your trusted
doctor / hospital

Terms & conditions apply as per the Scheme Rules. Statutory Prescribed Minimum Benefits (PMBs) in private hospitals are covered as per the Scheme Rules. In public or state hospitals, benefits are as prescribed by law.

Let's clear things up and
give you peace of mind!

Get in Touch

Please feel free to contact us by filling the form below

Yes. Membership of Genesis is open to any person who is a citizen of South Africa or permanently residing in South Africa.
Foreign students wishing to study in South Africa and who wish to apply for membership in order to get a visa, are not eligible for membership of the Scheme.

No. Contributions are not based on monthly salary bands. Depending on the selected benefit option, all adult members pay the same monthly contribution.

No. Genesis is a medical scheme registered during May 1995 in terms of the Medical Schemes Act.

As with all medical schemes, Genesis is owned by all its members. Members elect Trustees who act on their behalf. The Trustees form the management committee of the Scheme and are elected to serve in the best interest of all the members.

Yes. Membership of Genesis is open to any person who is a citizen of South Africa or permanently residing in South Africa.
Foreign students wishing to study in South Africa and who wish to apply for membership in order to get a visa, are not eligible for membership of the Scheme.

Yes. A new generation scheme differs from a traditional scheme in that the scheme is primarily concerned with the costs associated with in-hospital treatment and procedures. Most out-of-hospital medical costs are paid from your day-to-day credit facility via a Self Managed Fund (SMF).

Essentially out-of-hospital costs are for your account and the Scheme merely provides the credit facility and administers the claims on your behalf.

As a member of a new generation scheme, you are responsible for managing most of your out-of-hospital costs, while the Scheme provides for the higher costs associated with hospital care.

The Medical Schemes Act prevents a medical scheme from borrowing money. It follows that no medical scheme has financial backing. The success of a scheme is dependent on various factors, including the structure of its benefits, pricing of its premiums, management of its day-to-day activities, the risk of its members and its solvency reserves.

All medical schemes maintain a pool of funds that is used to pay claims. The success of any scheme lies in the ability of a scheme to maintain that pool of funds at a level that is sufficient for its members’ claims; hence the solvency requirements of a scheme as required by the Medical Schemes Act.