
What Happens If My Medical Aid Claim Is Rejected Or Only Partially Paid?
A medical aid claim rejection can be frustrating, especially when you expected full payment from your scheme. Claims may be

A medical aid claim rejection can be frustrating, especially when you expected full payment from your scheme. Claims may be

Before a planned hospital admission, Genesis members need to obtain a hospital admission reference number 72 hours prior to such

Family medical aid plans offer private healthcare cover, helping to ensure your loved ones can access the medical care they

Family hospital plans provide essential cover for unexpected medical events, offering peace of mind and financial protection. While they may

4.7%: THE LOWEST MEDICAL AID INCREASE IN SOUTH AFRICA FOR 2026 2026 Premium Increase We know times are tough right

This article examines the extent of medical schemes’ funding obligations for treatable vs non-treatable cancers. From a medical perspective, doctors

Raising a family in South Africa comes with both joy and responsibility. One of the most important decisions any family

Navigating healthcare funding options in South Africa can be overwhelming, especially for young families seeking affordable and reliable medical cover.

Understanding the Difference Between a Hospital Plan and Full Medical Aid As a young professional in South Africa, you may

In the healthcare space, there appears to be a disconnect between what consumers want and what medical schemes are able

On 6 June 2017 the Constitutional Court of SA handed down a far reaching judgement in favour of Genesis.

Medical Scheme call centres should always strive to maintain the human touch in all the elements of their member interaction.

Exam time can be very stressful for everyone in the family as your child is preparing for his / her

Decoding the way your teen speaks to her Gen Z friends on WhatsApp, Instagram, or Facebook is a tricky business.

TikTok, a platform known for short dance and comedy videos beloved by members of Generation Z, has been downloaded some

During the extended lockdown in South Africa, Genesis Medical Scheme is operating with reduced staff numbers on two shifts.

The question of why we dream has fascinated scientists and philosophers for thousands of years.

Most people wrongly assume that over-the-counter (OTC) medicine they can buy without a prescription is relatively harmless.

We are delighted to inform all our members that a new version of our smartphone app has been registered with

None of us ever want to fall sick or be treated in a hospital.

Genesis members are reminded to refresh their smartphone app with electronic membership card on a regular basis*.

What can we learn from our Grandmothers – those fit, 1950’s housewives who never, ever stepped a foot in the

Anemia is not a disease, but rather a symptom of various other health problems. Anemia can be temporary or long

We are so fortunate to have professionals and fellow humans on similar journeys towards meaningful and healthy living.

Most South Africans don’t need much of an excuse to light a fire.

Flu, or influenza, is a viral illness that occurs predominantly in the winter.

Raising a teenager these days can often be something of a balancing act for any parent, especially when they present

Early in the twentieth century, antibiotics changed the world of medicine. But we could be losing our best weapon against

Your child has come home from school with a runny nose and red cheeks.

When children suddenly develop a high fever, it is alarming for parents.

Does a gluten-free lifestyle always improve the health of everyone who follows it?

Is there a link between gluten, a protein found in wheat, barley and rye, and autoimmune diseases such as type

Could you be allergic to the gluten in bread and other foods that contain the protein?

What exactly does the term “gluten free” on food labels mean?

It is estimated that only 70% of people get enough sleep at night.

The human body needs at least seven to nine hours of sleep.

4.7%: THE LOWEST MEDICAL AID INCREASE IN SOUTH AFRICA FOR 2026 2026 Premium Increase We know times are tough right

With the signing of the highly contested and controversial National Health Insurance (NHI) Bill into law on 15 May 2024,

The Council for Medical Schemes (CMS) is once again conducting an awareness survey amongst medical scheme members and beneficiaries. The

Approximately 50% of South Africans constitute the middle class. They are not “poor”, nor are they “rich”. They are just

In the healthcare space, there appears to be a disconnect between what consumers want and what medical schemes are able

Does the size of a medical aid scheme matter? The only aspect about the size of a medical scheme that

What do medical aid scheme contribution increases look like in 2023? In 2021 and 2022 medical scheme increases were somewhat

Two types of insurance products that are often misunderstood, are “Medical Aid” or “Hospital Plan” versus “Hospital Cash Plan”. Difference

Which is the best medical aid scheme in SA? And which one is the worst? Well…. it depends on who

Members of medical aid schemes and/or their doctors often believe that a condition is a Prescribed Minimum Benefit (PMB) when,

We all know that the good things in life are not for free. And certainly, there are no free lunches

Many medical aid schemes have annual limits that apply to certain benefits.

Genesis Medical Scheme offers dentistry benefits on all their benefit options, including their hospital plans.

Prescribed Minimum Benefits (PMBs) were introduced to prevent unfunded dumping on the state and to improve efficiency and cash flow for