Genesis medicine benefits: 2017

By Staff Writer -

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

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

Genesis Private Choice 2017: Medicine 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. Chronic:
  • PMBs chronic: paid by scheme
  • non-PMBs chronic: No benefit
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. Acute (presrcibed) medication:
  • No benefit
3. Over-the-counter:
  • No benefit
4. On Discharge:
  • No benefit
5. Birth Control:
  • No benefit
6. Notes:
  • Scheme pays 100% of cost for medicines on the formulary

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Genesis Private 2017: Medicine 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. Chronic:
  • PMBs chronic: paid by scheme
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. Acute (presrcibed) medication:
  • No benefit
3. Over-the-counter:
  • No benefit
4. On Discharge:
  • No benefit
5. Birth Control:
  • No benefit
6. Notes:
  • Scheme pays 100% of cost for medicines on the formulary

View this plan

Genesis Private Plus 2017: Medicine 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. Chronic:
  • PMBs chronic: paid by scheme
  • non-PMBs chronic: paid from day-to-day benefit
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. Acute (presrcibed) medication:
  • Paid from day-to-day benefit
3. Over-the-counter:
  • Paid from day-to-day benefit
4. On Discharge:
  • Paid from day-to-day benefit
5. Birth Control:
  • Paid from day-to-day benefit
6. Notes:
  • Scheme pays 100% of cost for medicines on the formulary

View this plan

Genesis Private Comprehensive 2017: Medicine 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. Chronic:
  • PMBs chronic: paid by scheme
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. Acute (presrcibed) medication:
  • R3,900 per adult
  • Balance from day-to-day benefit
3. Over-the-counter: See Acute Medicine benefit, above
4. On Discharge: See Acute Medicine benefit, above
5. Birth Control: See Acute Medicine benefit, above
6. Notes:
  • Scheme pays 100% of cost for medicines on the formulary

View this plan


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