Genesis mental health benefits: 2017

Below is a full list of how each Genesis plan pays for Mental Health benefits.

Click here to compare mental health benefits across all schemes, or use the menu bar above for more options. Or go to the Genesis home page.

Genesis Private Choice 2017: Mental Health Benefits
In brief: 100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry. Limits apply. All else paid out of pocket, unless PMB.
1. In-hospital:
  • 3 days per person in hospital and 18 days in registered health establishment
  • Limited to R36,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,000 R1,000 R325
Children: Pay for all children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: dentistry. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

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2. Out-of-hospital:

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Genesis Private 2017: Mental Health Benefits
In brief: 100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry. Limits apply. All else paid out of pocket, unless PMB.
1. In-hospital:
  • 3 days per person in hospital and 18 days in registered health establishment
  • Limited to R36,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,500 R1,500 R365
Children: Pay for all children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: dentistry. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

2. Out-of-hospital:

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Genesis Private Plus 2017: Mental Health Benefits
In brief: 100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry. Limits apply. All else paid out of pocket, unless PMB.
1. In-hospital:
  • 3 days per person in hospital and 18 days in registered health establishment
  • Limited to R36,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,900 R1,900 R365
Children: Pay for all children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: dentistry. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R4,140 R4,140 R

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2. Out-of-hospital:
  • Paid from day-to-day benefit

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Genesis Private Comprehensive 2017: Mental Health Benefits
In brief: 100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry, consults, medicine. Limits apply. All else paid out of pocket, unless PMB.
1. In-hospital:
  • 3 days per person in hospital and 18 days in registered health establishment
  • Limited to R36,000 per person
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,200 R2,200 R365
Children: Pay for all children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: dentistry, consults and medicine. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R1,740 R1,740 R

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2. Out-of-hospital:
  • 4 consultations per adult with a registered provider, up to R400 per consult. Balance from Day to Day benefit.
  • Benefit applies to GPs, specialists, psychologists, chiropractors, dieticians, social workers, physio, biokinetics, optometrist, alternative treatments, homeopathy

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