The Genesis Medical Aid hospital plan gives you a affordable benefits for both private hospital and essential dental costs.
It is the only hospital plan to offer essential dental benefits as well and it is ideal for singles, families, and pensioners.
2 plan options provides unlimited in-hospital, essential dentistry and chronic illness benefits with a scheme that has consistently had lower-than-average premium increases.
There is a comprehensive option, with the same in-hospital benefits linked to a savings fund to use for out of hospital expenses.
An affordable hospital plan offering unlimited hospital and essential dental benefits - all in one plan!
The cost of a Medical Aid plan is frightening and it is not going to improve anytime soon!
We all need help when it comes to meeting the high cost of private hospitalisation and expensive day-to-day treatments. like dentistry.
This is an affordable way for healthy single members, families and pensioners to afford good, private healthcare benefits!
There are 2 main areas of high cost we need to cover - private hospital and day-to-day dental costs.
(Doctor and chemist bills are normally manageable and can be self-funded.)
Your healthcare plan must cover these essential areas:
- Private hospital treatment. All accounts from admission to discharge, to be paid in full.
- Intensive, general and high care wards of a private hospital, day clinic or even the recovery room charges of an unattached operating theatre.
- Specialists and Doctors who work in the hospital must be covered.
- Surgical procedures done in doctors’ rooms.
- Longer-term treatments like Cancer, Stroke, Organ transplant
- Emergency pre-hospital treatment, evacuation and transport
- Chronic medication
- Any provider, NOT forcing you to use a network provider.
- Very limited procedure co-payments.
- 24/7 medical helpline service.
- Essential dental treatment paid by the plan!
Genesis covers all of these - at a very affordable premium!
This plan meets all the above needs and has cover for essential dentistry treatments!
- 3 dental oral examinations,
- 6 fillings,
- Tooth extractions,
- 6 plain x-rays for conservative dentistry,
- 2 root canal treatments,
- Limited crowns, dentures or bridges, surgical removal of bony impacted wisdom teeth,
- Scale and polish,
- A Dental implant.
There are 2 Genesis in-hospital plans: one pays at medical aid rates, the other at 2 times medical rates, with higher benefit limits and no co-payments!
However, private providers can charge what they want, often up to 5 times these rates!
So, you do need to consider adding the separate Gap cover and top-up plan below (R350 pm) to get unlimited private hospital cover, paying up to 5 times medical scheme rates.
Private healthcare providers can charge up to 500% of medical scheme rates.Medical aids add procedure co-payments as well.
These are significant costs you must consider.
Protect yourself against these potential threats, by joining Zest's GAP or top-up insurance plan.
This separate insurance will cover most in-hospital claim shortfalls and any co-payments. It is a vital safety net, ensuring you have enough to cover medical treatments, without having to pay for unexpected costs.
Joining a hospital plan with Gap Cover remains the most affordable way for families to protect against rising costs in 2026.
If you join Genesis, you will have the finest hospital plan, that pays dental costs as well from as little as:
Single - R 1,610 pm (Leading hospital plan requires R 3,338 pm!)
2 Adults - R 3,220 pm (Leading hospital plan requires R 5,492 pm!)
Family of 4 - R 4,230 pm (Leading hospital plan requires R 8,012 pm!)
For FULL in hospital benefits consider adding a top-up PLAN from R 372 pm
Now tell me you can beat this deal!Why genesis is such a good and under-rated medical scheme!
Our greatest threats from medical costs are with private hospitalisation and dental care.And Genesis pays both of these from the plan itself - not from your savings!
Leading international professional services companies, such as Towers Watson, GTC and AON, recently rated Genesis as one of the most successful medical aid schemes in South Africa. In particular, the Private Choice option was rated as providing 63% more value for money than the other equivalent benefit options in its market segment.
The scheme is self-administered and along with prudent risk management, they have had the lowest contribution increase of all open schemes for 12 consecutive years with an average of 5.4% for 2025!
Its strong financial position demonstrates beyond a doubt that the Scheme has a very high ability to settle claims.
Rates for children are also, considerably lower than other medical aids!
A Smart phone app and electronic membership card gives you and your entire family 24/7 access to your electronic membership card and other important information.
Access to the ER24 Emergency Contact Centre for the management of any medical emergency, such as emergency pre-hospital treatment, evacuation and transport (including inter-hospital transfers) within the Republic of South Africa, when using ER24, as well as a 24/7 medical helpline service for medical related enquiries.
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Send me your questions and concerns. I'll answer them for you.
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You must consult the schemes/company product brochures and rules for comprehensive benefit descriptions.
You must consult the schemes/company product brochures and rules for comprehensive benefit descriptions.
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Peter Pyburn - Authorised Financial Services Provider has been fully licensed to provide expert financial services since 1991.Based in Sandton, Johannesburg, Gauteng, we specialise in comprehensive financial planning including: Death and Disability Cover, Retirement Planning, Investment Strategies, Medical Aid, Estate Planning
FSP Licence 2995 and Medical Aid Accreditation BR 7428.
Why Choose Peter Pyburn?
Over 30 ears of experience in financial services - Fully Licensed and Accredited for medical aid and other Personalised financial advice.
Council of Medical Schemes
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Important Disclaimer: This content is for informational purposes only and does not constitute financial or healthcare advice.
Medical aid benefits are subject to change. Please consult the medical aid brochure and speak to me before making any decisions.
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Last updateNovember20, 2025