Genesis in-hospital benefits: 2017

By Staff Writer -

Below is a full list of how each Genesis plan pays for In-hospital benefits.

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

Genesis Private Choice 2017: In-hospital 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. Payout Rate:
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-

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • R2,750 co-payment per scan
  • Limited to R6,250 per scan, and 2 scans per family
  • Excludes dentoalveolar procedures and conservative treatment of back and neck
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Limited to R50,000 per person for admissions related to cancer, stroke, motor-neuron disease and organ transplant
6. Co-payments:
  • Specialised Radiology: R2,750 co-payment per scan
  • Internal medical appliances or prosthetics: 50% of cost co-payment
  • External medical appliances 25% of cost co-payment
7. Alternatives to hospitals:
  • No benefit

View this plan

Genesis Private 2017: In-hospital 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. Payout Rate:
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. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Scans related to conservative treatment of back and neck covered up to 50% scheme rate, and limited to R6,000 per person
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Limited to R550,000 per person for admissions related to cancer, stroke, motor-neuron disease and organ transplant
  • Cost of immunosuppressants: R84,000
6. Co-payments:
  • External medical appliances: 25% of cost copayment
7. Alternatives to hospitals:
  • Hospice: 100% of cost
  • Home care visits: R200 per day
  • Home visits by medical practitioner: 100% scheme rate

View this plan

Genesis Private Plus 2017: In-hospital 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. Payout Rate:
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

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Scans related to conservative treatment of back and neck covered up to 50% scheme rate, and limited to R6,000 per person
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Limited to R550,000 per person for admissions related to cancer, stroke, motor-neuron disease and organ transplant
  • Cost of immunosuppressants: R84,000
6. Co-payments:
  • External medical appliances: 25% of cost copayment
7. Alternatives to hospitals:
  • Hospice: 100% of cost
  • Home care visits: R200 per day
  • Home visits by medical practitioner: 100% scheme rate

View this plan

Genesis Private Comprehensive 2017: In-hospital 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. Payout Rate:
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

Compare with these plans:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Scans related to conservative treatment of back and neck covered up to 50% scheme rate, and limited to R6,000 per person
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Limited to R550,000 per person for admissions related to cancer, stroke, motor-neuron disease and organ transplant
  • Cost of immunosuppressants: R84,000
6. Co-payments:
  • External medical appliances: 25% of cost copayment
7. Alternatives to hospitals:
  • Hospice: 100% of cost
  • Home care visits: R200 per day
  • Home visits by medical practitioner: 100% scheme rate

View this plan


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