
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.

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

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

Finding the right medical aid plan as a young professional in South Africa can be overwhelming. With so many options

Your tax burden could be significantly reduced if you have a dependant with a disability. Many South Africans living with

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

American actress Carrie Fisher, famous for her role as Princess Leia in the Star Wars films, died of a heart

Ever wondered about what the long-term effects of chronic bruxism (teeth grinding) could be on the shape of your face?

You are at a party and have had a few drinks. How long does it take to sober up?

The legal blood alcohol limit in South Africa is 0.05 g of alcohol per 100 ml of blood.

YES – you can definitely go to jail for drunk driving. And it could be for a lot longer than

We all have some emotions that we do not always deal with effectively. These emotions can affect our lives in

Ever looked around yourself and felt a wave of stress and anxiety about all the ‘stuff’ around you?

Our health is affected by our psycho-social well-being.

Your brain and subconscious trick you into believing that smoking is enjoyable.

Claiming medical expenses from SARS is easier than most people think. This article will have a look at what Medical

Can you join a medical aid if you have just fallen pregnant? Importance of medical scheme membership and cover Most

Expensive medical scheme membership and expensive private healthcare in South Africa remain controversial topics.

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

Dis-Chem has informed us that their Covid vaccination bookings portal is now live on their website. This bookings portal is

Medical scheme increases for 2021 – do you know what your actual premium increase will be?

The Council for Medical Schemes (CMS) established a Prescribed Minimum Benefits (PMBs) Costing Committee. The Committe was established to cost

In the first of our series on this topic, we explained to our members how the legal and funding models

According to StatsSA, the number of South Africans on private medical schemes have stagnated in the region of 17% over

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