Genesis MEDICAL SCHEME Different from the rest. Unique Benefits The luxury to choose Unique basic dentistry benefit – R25 000 per person p.a. Child dependant.

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Presentation transcript:

genesis MEDICAL SCHEME Different from the rest

Unique Benefits The luxury to choose Unique basic dentistry benefit – R per person p.a. Child dependant rates exceptionally well positioned Out of hospital MRI / CT benefits No upfront deposits prior to hospitalisation Provides excellent financial cover (200% on 3 of the 4 benefit options) Strong financial position Different from the rest Average contribution increase 4.95% (2013)

Scheme Philosophy Founded on principle that medical aid is not about loyalty and / or incentive programmes, but to provide the best possible financial cover during times of life-threatening diseases or ill- health, at any provider of choice. Different from the rest

Financial sustainability One of the top 5 open schemes over the past 9 years Share 4th position Different from the rest

Financial sustainability PositionSchemeReserves per member to pay claims 3 Genesis Medical SchemeR30,450 9 Fedhealth Medical SchemeR12, BestmedR10, Bonitas Medical FundR10, SpectramedR9, MedihelpR9, LibertyR8, Discovery Health MSR6, KeyhealthR6, Momentum HealthR5, Resolution Health MSR1,833 Different from the rest

2013 Benefits R 795 R R R Different from the rest

2013 Benefits - an overview All Benefit Options Designed to provide cover at cost up to R per beneficiary p.a. for the more essential and routine procedures, such as fillings, extractions and crowns that help prevent long-term serious problems from developing In-hospital surgical removal of impacted teeth (R9 000 per admission) Dental benefit for extractions & fillings for children < 8 years (once in a lifetime benefit) All dental procedures paid at lower of cost or Scale of Benefits Dental benefits Different from the rest

2013 Benefits - an overview Private Plus & Private Comprehensive Private Plus Private Comprehensive Per adult R2 700 R4 320 Two (2) adults R5 400 R8 640 Medical savings Different from the rest

2013 Benefits - an overview Private Comprehensive 100% of cost up to R2 400 per adult p.a. - balance subject to available savings benefit Medicine benefit is determined by the number of adults within the membership and is a pooled benefit that is available to be used by all beneficiaries within the membership Medicine benefit Per adult R2 400 Two (2) adults R4 800 Medicines Different from the rest

2012 Benefits - an overview Private Comprehensive Six (6) consultations per adult p.a. up to R275 per consultation with any practitioner registered with the Health Professions Council of SA Consultation benefit is determined by the number of adults within the membership and is a pooled benefit that is available to be used by all beneficiaries within the membership Consultation benefit Per adult 6 x R275 = R1 650 Two (2) adults 12 x R275 = R3 300 Consultations Different from the rest

Day-to-day benefit summary (per adult) Private Choice PrivatePrivate PlusPrivate Comprehen- sive ConsultationsR1 650 MedicationR2 400 SavingsR2 700R4 320 DentalR TOTALR R27 700R Different from the rest

2013 Contributions 2013 Private Choice AdultR795 First Child DependantR320 Additional childrenR85 each Private AdultR1 185 ChildR335 Additional childrenR90 each Private Plus AdultR1 445 ChildR335 Additional childrenR90 each Private Comprehensive AdultR1 990 ChildR335 Additional childrenR90 each Different from the rest

Contact New membership 0861 joinnow Enquiries Website The Genesis website is a comprehensive tool for members, service providers, employers and brokers and provides information ranging from benefit information to a rates calculator, press office and password protected personal details. Different from the rest

This presentation contains a summary of benefits and is for information purposes only. It does not include all relevant benefits, limitations and exclusions. Thank You Different from the rest