
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

The statistics in favour of quitting smoking using hypnosis are staggeringly positive.

Hair loss can develop gradually over years, or it can happen abruptly. Depending on the underlying cause, it may only

Thyroid disease and hair loss are often closely related and may be a sign that your thyroid isn’t working as

That’s right – stress is going nowhere and you cannot hide from it; so best you learn how to manage

Highly stressed people are at greater risk of long-term health problems and premature death than those who are more chilled

Guard against techno-creep in the workplace, or else it can take over your life.

Do South African parents have to vaccinate their children?

Whether travelling abroad or taking extra precautions to stay healthy this winter, chances are that you’re considering vaccination.

Cardiac arrest (heart attack) is responsible for 75% of sudden deaths on the sports field.

In recent years, doctors have started to prescribe the use of probiotics together with all antibiotics.

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

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?