Genesis Medical Aid MED 100 Hospital Plan (🇿🇦 2026)

  Overall, the Medihelp MedAdd Medical Aid Plan is a trustworthy and comprehensive hospital plan that offers 24/7 medical emergency assistance and in-hospital procedures to up to 3 Family Members. The Medihelp MedAdd Medical Aid Plan starts from R1,680 ZAR in 2026.    

Genesis Medical Aid MED-100 Hospital Plan - 7 Key Point Quick Overview

1. ✅ Genesis Medical Aid MED-100 Plan Overview
2. ✅ Genesis Medical Scheme MED-100 Plan Contributions
3. ✅ MED-100 Plan Benefits and Cover Comprehensive Breakdown
4. ✅ MED-100 Plan Exclusions and Waiting Periods
5. ✅ Genesis Medical Scheme MED-100 Plan vs. Similar Plans from Other Medical Schemes
6. ✅ Our Verdict on The Genesis Medical Scheme MED-100 Plan
7. ✅ Genesis Medical Scheme MED-100 Plan Frequently Asked Questions

Genesis Medical Aid MED-100 Plan Overview

  The Genesis Medical Aid MED-100 Hospital plan is one of 3, starting from R1,680, and includes basic in-hospital benefits, basic dentistry, chronic condition cover, and some out-of-hospital benefits.  Gap Cover is not available on the Genesis Medical Scheme MED-100 Plan. However, Genesis offers 24/7 medical emergency assistance, and according to the Trust Index, Genesis Medical Scheme has a trust rating of 4.2.   Genesis Medical Scheme has the following plans:

1. Genesis Medical Scheme MED-100
2. Genesis Medical Scheme MED-200
3. Genesis Medical Scheme MED-200 Plus

Genesis Medical Scheme MED-100 Plan Contributions

   

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MED-100 Plan Benefits and Cover Comprehensive Breakdown

• ☑️ Ideal for young individuals/families.
• ☑️ In-hospital cover for planned/emergency admissions.
• ☑️ 100% coverage for doctors/specialists at Scheme Tariff.
• ☑️ Out-of-hospital benefits for cancer are limited to PMB treatment in public/state hospitals only.
• ☑️ Genesis covers substantial benefits for basic dentistry (not from your pocket).

Genesis Medical Scheme MED-100 In-Hospital and other related benefits

   

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Genesis Medical Scheme MED-100 Combined In and Out-of-Hospital Benefits

   

Genesis Medical Scheme MED-100 Out-of-Hospital Benefits

 

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MED-100 Plan Exclusions and Waiting Periods

Genesis Medical Scheme MED-100 Plan Exclusions

  Some general exclusions include, but are not limited to:  

• Bandages and aids
• Patented foods, including baby foods and milk substitutes
• Slimming preparations
• Tonics and nutritional supplements
• All costs for cosmetic procedures/treatment/medication, except if due to an accident, illness, or disease.
• Operations for nasal or breast reconstruction except due to medical reasons.
• All costs for operations, medicines, treatment, and procedures for obesity, cosmetic purposes, or of the member’s choosing where this has no connection with any illness, presumed illness, accident, or other medical disability:
• Medicines not registered with the Medicines Control Council
• Toiletries and beauty preparations
• Member-related traveling expenses
• Charges for appointments that a beneficiary fails to keep
• Elective (non-emergency) after-hours consultations
• Medical examinations or mass inoculation of employees initiated by employers
• Unproven or experimental treatment
• Cosmetic and reconstructive surgery, treatment, or appliances

Out of hospital exclusions:

• 👉🏾 ADVANCED DENTISTRY
• 👉🏾 MRI & CT SCANS
• 👉🏾 PLAIN RADIOGRAPHY
• 👉🏾 EXTERNAL SURGICAL APPLIANCES (including repair)
• 👉🏾 PATHOLOGY SERVICES
• 👉🏾 PRESCRIPTION SPECTACLE / CONTACT LENSES
• 👉🏾 And more....

Genesis Medical Scheme MED-100 Plan Waiting Periods

  The imposition of waiting periods by Genesis is at the discretion of the Scheme, following an assessment of the health profile of the applicant. This measure prevents individuals from joining the Scheme solely to access hospital services in the immediate future.  There are two types of waiting periods as follows:  

• 💙 A general waiting period of up to three months, during which members are required to pay their regular monthly contributions but are not entitled to any benefits, except for certain instances relating to PMBs, where treatment must be obtained from any public or state hospital in South Africa, subject to the Uniform Patient Fee Schedule (UPFS) tariff.
• 💙 Secondly, there is a condition-specific waiting period of up to 12 months, during which members must pay their regular monthly contributions. However, any pre-existing health conditions will be excluded, and all medical costs incurred during the first 12 months will be borne by the member, except for certain instances relating to PMBs, where treatment must be obtained from any public or state hospital in South Africa, subject to the Uniform Patient Fee Schedule (UPFS) tariff.

  Also take note that New Members 35 years or older may be subject to late-joiner penalties on Genesis Medical Aid Plans.  

Genesis Medical Scheme MED-100 Plan vs. Similar Plans from Other Medical Schemes

   

Our Verdict on The Genesis Medical Scheme MED-100 Plan

  💙 MED-100 is a comprehensive medical aid plan offered by Genesis Medical Scheme. The plan provides generous cover for in-hospital treatment, including specialists and doctors, with no co-payments required.   💙 Members also benefit from out-of-hospital benefits, including coverage for chronic medication, basic dentistry, and maternity services. However, the plan has some drawbacks. For instance, certain out-of-hospital benefits for cancer are only limited to PMB treatment in public/state hospitals, which could be a disadvantage for those who prefer private healthcare.   💙 Additionally, the plan imposes waiting periods at the discretion of the Scheme, which could be inconvenient for some members. Overall, MED-100 is a comprehensive medical aid plan with good in-hospital and out-of-hospital benefits. However, potential members should carefully consider its limitations and restrictions before deciding.     👉🏾 You might also like: Genesis Medical Scheme MED-200 👉🏾 You might also like: Genesis Medical Scheme MED-200 Plus

Genesis Medical Scheme MED-100 Plan Frequently Asked Questions

What is Genesis Medical Scheme MED-100?

MED-100 is a comprehensive medical aid plan offered by Genesis Medical Scheme, covering in-hospital and out-of-hospital treatment.  

What kind of in-hospital treatment is covered under MED-100?

MED-100 covers in-hospital treatment, including specialists and doctors, with no co-payments required.  

What are the out-of-hospital benefits provided by MED-100?

MED-100 provides cover for chronic medication, basic dentistry, and maternity services.  

Are there waiting periods for MED-100?

Yes, MED-100 imposes waiting periods between three to twelve months at the discretion of the Scheme.  

How long are the waiting periods for MED-100?

There is a general waiting period of up to three months and a condition-specific waiting period of up to 12 months.  

Does MED-100 cover cancer treatment?

Yes, MED-100 covers cancer treatment, but certain out-of-hospital benefits are limited to PMB treatment in public/state hospitals.  

Does MED-100 cover chronic medication?

Yes, MED-100 covers chronic medication.  

Does MED-100 cover basic dentistry?

Yes, MED-100 covers basic dentistry.  

Does MED-100 cover maternity services?

Yes, MED-100 covers basic maternity services.  

What are the premiums for MED-100 for 2026?

Premiums for MED-100 depend on age, gender, and the number of dependents. MED-100 costs R1,680 per month for all adults and R525 for all children.  

Which hospitals are part of MED-100’s network?

MED-100 has a network of private hospitals and state hospitals.  

Are pre-existing conditions covered under MED-100?

Pre-existing conditions are excluded from coverage under MED-100 for the first 12 months.  

Are co-payments required for MED-100?

Yes, MED-100 does require co-payments on MRI and CT Scans.  

What exclusions are there for MED-100?

MED-100 excludes certain treatments, procedures, cosmetic surgery, and experimental treatments.  

What is the application process for MED-100?

To apply for MED-100, complete an application form and submit it to Genesis Medical Scheme. You may also need to undergo a medical examination.