
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

Human beings can survive without food for 30 to 40 days. But without water, life would end in 3 to

Irritable Bowel Syndrome (IBS) affects the large intestine and is one of the most common digestive disorders. About one in

Left unchecked, chronic inflammation can cause life-threatening disease. Fortunately, a nutritious, anti-inflammatory diet can help to keep you healthy.

More and more research is confirming low-level chronic inflammation as a major risk factor for developing serious health conditions.

Did you know that inflammation plays a role in cancer, heart disease and diabetes?

Although food safety authorities consider aspartame to be safe, it is one of the most controversial sweeteners in the world.

Can you really boost your immune system to fight COVID-19 and other diseases?

Games are here to stay. Children and teens will find a way to play, whether it’s Fortnite or the next

Fortnite is an online game that has spread like wildfire all over the world.

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

A Medical Scheme Fees Tax Credit (MTC) is a rebate which effectively reduces the normal tax a person pays.

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

Medical scheme increases for next year have been announced.

What does it cost to be on one of the top hospital plans in SA?

Our previous article on prescribed minimum benefits (PMBs) highlighted some challenges medical schemes face about the the “pay in full”

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

According to a recent judgement of the Supreme Court of Appeal, all medical schemes have to pay PMB benefits in

Different strokes for different folks, but why is Peter paying R5 967 for his hospital plan, but Paul only R3

Popular misperception is that a “hospital plan” is not a “medical aid”, or that a more expensive plan with medical

In our previous article on how to avoid co-payments after a hospital admission, we focused on Designated Service Providers (“DSPs”)

Nobody can afford the burden of huge co-payments or unexpected out-of-pocket expenses after a hospital admission.

As from 1 August 2021, people over the age of 35 can now also register to get their Covid-19 vaccinations.

Have you ever wondered just how some healthcare providers justify their unscrupulously high fees?

The diagnosis of breast cancer can be a physical, emotional and psychological roller coaster, as one is just never prepared

When does your medical aid cover the cost of a visit to the Emergency Centre at a private hospital?

With effect from 1 January 2021, your current Private Plus benefit option will be discontinued.

What does President Cyril Ramaphosa’s announcement of a 21-day lockdown mean for Genesis members?