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IconMEDICAL AID SCHEMES

Genesis Medical Scheme

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Tel: 0861 564 6669
Fax: 021 447 4707
Address:
The Terraces
4th Floor
Black River Park
Fir Street
Observatory
7925
Postbox:
P O Box 5467
Cape Town
8000
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As a leading medical scheme in South Africa, Genesis has a proud heritage of providing exceptional benefits at affordable prices, bringing true peace of mind to our members. We were recently rated as one of the most successful schemes in South Africa as measured by our claims ratio, our ability to pay claims, the access we offer to medical facilities and the benefits provided vs contributions levied.*

With benefit options ranging from affordable hospital plans to more comprehensive medical aid cover with savings for day-to-day healthcare expenses, we offer our members excellent financial cover, more value for money, more benefits and better service than most other South African medical aid schemes.

Over the last several years, we have been at the forefront of low contribution increases coupled with increased benefits, which is a tribute to the sound management and administration of the Scheme. With an average annual contribution increase of only 6.4% for 2014, which is considerably lower than all open schemes, Genesis members continue to save on below-inflation contribution increases.

All Genesis members have the luxury to choose their preferred hospital, doctor or medical specialist along with a choice of funding model. Members are not forced to seek treatment in network hospitals, nor are they required to make use of network medical practitioners. Genesis does however not provide any kind of healthcare service or treatment. The Scheme reimburses members’ claims in terms of its rules. Genesis offers a choice of funding model for members to decide which suits them best. Should you choose to be treated in a private hospital, even if your condition is listed as a Prescribed Minimum Benefit (PMB), the benefits and limits as set out in the rules will apply. Should your claim be related to a PMB and you want it to be paid according to the law as provided for in section 29(1)(p) of the Medical Schemes Act, then treatment must be obtained in a public hospital.

To find out more about Genesis Medical Scheme, contact us on 0861 564 6669 or visit www.genesismedical.co.za

(*) Independent studies conducted by AON Hewitt South Africa and Towers Watson.

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From The Glossary »

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Automatic Reinsurance:

A reinsurance procedure whereby the reinsuring company binds itself unconditionally to accept reinsurance for specified amounts in proportion to the amount retained at its own risk by the direct writing company. This permits the direct writing company to issue a policy at once if the amount of insurance is within its own retention plus the automatic coverage.
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