Assume scheme pays all these costs, unless otherwise stated |
- PMBs only
- Covered in full at DSP, up to 21 days admission
- Alcoholism/Drug Addiction: 21 days admission
- If non-DSPs are used, claims are limited to R42,000 per person, in and out of hospital
|
|
- PMBs: 10+ consults, paid by scheme
- If non-DSPs are used, claims are limited to R1,000 per consult and R42,000 per person, in and out of hospital
- Otherwise, no benefit
|
|
|
|
- PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness.
- DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
- Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
|
♦️View all the other benefits for this plan:♦️
Inhospital |
Out of hospital |
Medication |
Maternity |
Cancer |
Mental Health |
Dentistry |
Optometry |
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
♦️Compare any two plans, side by side |
♦️View all the Genesis plans, with costs and brief summary
|
. |