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2016
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medical aid.
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TOP 5 Open Schemes 1st Position 2013 One of the
(Claims ratio, solvency, access to medical facilities) Financial sustainability since 1st Position 2013
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Contributions levied vs benefits provided
Towers Watson & GTC Healthcare (2015) Contributions levied vs benefits provided “New Generation” / “Core – No Network” Segments Private Choice offers the best value for money in these two market segments Private Choice offers 63% more value for money than 78 other equivalent benefit options
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Contributions levied vs benefits provided
Towers Watson (2015) Contributions levied vs benefits provided “Comprehensive” Segment Private Comprehensive offers 43% more value for money than 48 other equivalent benefit options
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Annual contribution Increases
Year Average annual contribution increase 2016 5.50% 2015 5.30% 2014 6.43% 2013 4.95% 2012 7.20% 2011 9.50%
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2016 Increases Option % Increase R – Value Increase Private Choice
5.6% R50 Private 6.0% R80 Private Plus 6.8% R115 Private Comprehensive 3.6% R75 Average Increase 5.5%(*) (*) Based on adult contributions
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Unique Benefits • Average contribution increase of 5.5% lowest in industry (4th consecutive year) • Private Choice rated as best value for money hospital plan in South Africa (Towers Watson & GTC Healthcare) • The luxury to choose (no networks) • Unique basic dentistry benefit – R per beneficiary p.a. on all benefit options • Child dependent 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 • “You don’t need to pay more to occupy the same bed in hospital”
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Basic Dentistry Benefits
• Three (3) dental consultations • Six (6) fillings • Unlimited extractions • Six (6) plain X-rays for conservative dentistry • Two (2) root canal treatment (excluding on wisdom teeth) • Crowns, dentures or bridges - R3 000 • Surgical removal of impacted wisdom teeth (R9 000 per case) • In-hospital extractions / fillings for children < 9 years (R9 000 per case; once only benefit)
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Some of our Corporate Clients
• Vodacom • MacDonalds • Reunert • Dairy Belle • M&CSaatchiAbel • Proudly SA • Autoquip • etv • Building Industry Bargaining Council
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Thank You www.genesismedical.co.za
This presentation contains a summary of benefits and is for information purposes only. It does not include all relevant benefits, limitations and exclusions.
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