• Benefits, dentistry, Genesis Plan, optometry, Scheme Plans, wellness

Genesis Med 100:
dentistry, optometry and wellness (2025)

Contents:

This page has information on: Costs, Dentistry, Optometry, Wellness and Preventative and Other benefits for Genesis Med 100

Terminology:

  • PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
  • DSPs: Designated Service Providers. Where stipulated, you must use 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.
  • All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2026)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Genesis:Med 100 (2026)
Main member: Adult member: Child member:
Total Cost pm:
  • R1,680
  • R1,680
  • R525
Savings:
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Children Rates:
  • Under 21 yrs
  • Pay for all children
medicalaid_guide
FREE GUIDE!
How to choose the right Medical Aid plan
Instant download when you subscribe

Dentistry benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Genesis: Med 100
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child:
Savings (per year):
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Other Day-to-Day Funds:
Standard Dentistry:
  • Exams, fillings, extractions, x-rays, root canals, scale and polish: paid by scheme
Specialised Dentistry:
  • Crowns, bridges, dentures: R5,750 per person
  • Implants: 1 per person, every 3 years, limited to R10,000
 Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
In-Hospital Dentistry:
  • Wisdom teeth : R15,000 per case, 1 case per person per year
  • Under 9yrs old : extractions and fillings, R10,000 per person, once per lifetime
  • Maxillo-facial surgery : Covered, if as a result of major trauma or accident
 Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Orthodontics:
  • No benefit

Optometry benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Genesis: Med 100
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child:
Savings (per year):
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Other Day-to-Day Funds:
Optometry:
  • No benefit
Note:
  • This section does not apply to ophthalmology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.

Wellness/Preventative benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Genesis: Med 100
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:
  • No benefit
Pneumonia vaccines:
  • No benefit
Biometric Screening:
  • No benefit
Child Immunisation:
  • No benefit
Pap Smear:
  • Covered
Mammogram:
  • Covered
PAS Test:
  • Covered
HIV Test:
  • No benefit
Other:
  • No benefit
View other benefits for this plan:
In-hospital | 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.

Find all other open medical aid plans here.

Other benefits for 2025:

Med 100
International Insurance:
  • No benefit
Other: .
    Important!
  • Unless specified, assume that all benefits are paid at 100% scheme rate.
  • No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
  • "Unlimited" benefits are still subject to authorisation, protocols and sublimits.
  • Assume that all benefits need to be pre-authorised.
medicalaid_guide
FREE GUIDE!
How to choose the right Medical Aid plan
Instant download when you subscribe

More Information