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2016. medical aid. One of the TOP 5 Open Schemes (Claims ratio, solvency, access to medical facilities) 1st Position 2013 since Financial sustainability.

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Presentation on theme: "2016. medical aid. One of the TOP 5 Open Schemes (Claims ratio, solvency, access to medical facilities) 1st Position 2013 since Financial sustainability."— Presentation transcript:

1 2016

2 medical aid.

3 One of the TOP 5 Open Schemes (Claims ratio, solvency, access to medical facilities) 1st Position 2013 since Financial sustainability

4 Contributions levied vs benefits provided Towers Watson & GTC Healthcare (2015) “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

5 Contributions levied vs benefits provided Towers Watson (2015) “Comprehensive” Segment Private Comprehensive offers 43% more value for money than 48 other equivalent benefit options

6 Annual contribution Increases Year Average annual contribution increase 20146.43% 20134.95% 20127.20% 20119.50% 20155.30% 20165.50%

7 2016 Increases Option% IncreaseR – Value Increase Private Choice5.6%R50 Private6.0%R80 Private Plus6.8%R115 Private Comprehensive 3.6%R75 Average Increase5.5%(*) (*) Based on adult contributions

8 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 – R25 000 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”

9 Basic Dentistry Benefit s 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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11 Some of our Corporate Clients Vodacom MacDonalds Reunert Dairy Belle M&CSaatchiAbel Proudly SA Autoquip etv Building Industry Bargaining Council

12 Thank You This presentation contains a summary of benefits and is for information purposes only. It does not include all relevant benefits, limitations and exclusions. www.genesismedical.co.za


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