Genesis MED 200 Hospital Plan (🇿🇦 2026)

  Overall, the Genesis Medical Aid MED 200 Hospital Plan is a trustworthy and comprehensive hospital plan that offers 24/7 medical emergency assistance and emergency medical evacuation to up to 3 Family Members. The Genesis Medical Aid MED 200 Plan starts from R2,355 ZAR for 2026.    

Genesis Medical Aid MED 200 Hospital Plan - 7 Key Point Quick Overview

1. ✅ Genesis Medical Aid MED 200 plan Overview
2. ✅ Genesis Medical Aid MED 200 plan Contributions
3. ✅ MED-200 Plan Benefits and Cover Comprehensive Breakdown
4. ✅ MED-200 Plan Exclusions and Waiting Periods
5. ✅ Genesis Medical Aid MED 200 plan vs. Similar Plans from other Medical Schemes
6. ✅ Our Verdict on The Genesis Medical Aid MED 200 plan
7. ✅ Genesis Medical Aid MED 200 plan Frequently Asked Questions

Genesis Medical Aid MED 200 Hospital Plan Overview

  The Genesis Medical Aid MED 200 Hospital Plan is one of 3, starting from R2,355 and includes emergency medical evacuation, MRI and CT scans in + out-of-hospital, auxiliary services, and more.   Gap Cover is not available on the Genesis Medical Aid MED 200 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 Aid MED 200 Hospital plan Contributions

   

MED-200 Plan Benefits and Cover Comprehensive Breakdown

• ✅ The hospital plan is best for families/individuals needing out-of-hospital benefits like X-rays & MRI/CT scans.
• ✅ Covers planned and emergency hospital admissions.
• ✅ 200% coverage of the Scheme Tariff for doctors and specialists.
• ✅ Provides significant benefits for basic dentistry.
• ✅ Dentistry benefits are covered by Genesis and not out of your pocket.

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Genesis Medical Scheme MED-200 In-Hospital and other related benefits

   

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Genesis Medical Scheme MED-200 Combined In and Out-of-Hospital Benefits

   

Genesis Medical Scheme MED-200 Out-of-Hospital Benefits

   

MED-200 Plan Exclusions and Waiting Periods

Genesis Medical Aid MED 200 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 own 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
• 👉🏾 EXTERNAL SURGICAL APPLIANCES (including repair)
• 👉🏾 CONSULTATION BENEFIT: (General practitioners, medical specialists, speech therapy and audiology, psychologist, chiropractic services, dietetic services, social worker, physiotherapy / biokinetics, occupational therapist, optometrist, homeopath and related services)
• 👉🏾 PATHOLOGY SERVICES
• 👉🏾 PRESCRIPTION SPECTACLE / CONTACT LENSES
• 👉🏾 MEDICINES
• 👉🏾 And more….

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Genesis Medical Aid MED 200 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 Aid MED 200 plan vs. Similar Plans from other Medical Schemes

   

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Our Verdict on The Genesis Medical Aid MED 200 plan

  💙 The Genesis Medical Aid MED 200 plan is a comprehensive hospital plan that offers a range of benefits to individuals and families. The plan is well-suited for those requiring in-hospital and out-of-hospital benefits, such as X-rays, MRI, and CT scans.   💙 The MED-200 plan offers coverage for planned and emergency hospital admissions and doctors and specialists are covered at 200% of the Scheme Tariff. Additionally, the plan provides substantial benefits for basic dentistry, covered by Genesis and not out of the individual’s pocket.  However, one of the main disadvantages of the MED-200 plan is that it is relatively expensive compared to other medical plans on the market.     News Article: Campaign to support children with cancer

Genesis Medical Aid MED 200 plan Frequently Asked Questions

What is the Genesis Medical Aid MED 200 plan?

The MED-200 plan is a hospital plan offered by the Genesis Medical Scheme that provides in-hospital and out-of-hospital benefits, including coverage for X-rays, MRI, and CT scans.  

What are the benefits of the MED-200 plan?

The MED-200 plan offers comprehensive coverage for both in-hospital and out-of-hospital services, including coverage for doctors and specialists at 200% of the Scheme Tariff and substantial benefits for basic dentistry.  

Does the MED-200 plan cover out-of-hospital benefits?

Yes, the MED-200 plan covers a range of out-of-hospital benefits, including X-rays, MRI, and CT scans.  

How does the MED-200 plan cover hospital admissions?

The MED-200 plan provides coverage for both planned and emergency hospital admissions.  

What is the coverage rate for doctors and specialists on the MED-200 plan?

Doctors and specialists are covered at 200% of the Scheme Tariff on the MED-200 plan.  

What is the Scheme Tariff, and how does it apply to the MED-200 plan?

The Scheme Tariff is the amount the Genesis Medical Scheme agrees to pay for medical services. For example, on the MED-200 plan, doctors and specialists are covered at 200% of the Scheme Tariff.  

Does the MED-200 plan cover basic dentistry?

Yes, the MED-200 plan provides substantial benefits for basic dentistry, covered by Genesis and not out of the individual’s pocket.  

What are the costs associated with the MED-200 plan?

The costs of the MED-200 plan depend on a range of factors, including the individual’s age, health status, and chosen coverage level.  

How does the MED-200 plan compare to other medical plans on the market?

The MED-200 plan is relatively expensive compared to other medical plans. However, it offers comprehensive coverage for a range of medical services.  

For whom is the MED-200 plan best suited?

The MED-200 plan is best suited for individuals and families requiring in-hospital and out-of-hospital benefits, including coverage for X-rays, MRI, and CT scans.  

How does the MED-200 plan cover hospital admissions?

The MED-200 plan provides coverage for both planned and emergency hospital admissions.  

What is the Scheme Tariff?

The Scheme Tariff is the amount the Genesis Medical Scheme agrees to pay for medical services. Doctors and specialists are covered on the MED-200 plan at 200% of the Scheme Tariff.  

Can I choose my doctors and specialists on the MED-200 plan?

Yes, individuals on the MED-200 plan can choose their doctors and specialists.  

How do I enroll in the MED-200 plan?

Individuals can enroll in the MED-200 plan by visiting the Genesis Medical Scheme website or contacting the scheme directly.  

What is the claims process for the MED-200 plan?

The claims process for the MED-200 plan involves submitting a claim form and supporting documents to the Genesis Medical Scheme for reimbursement.  

Can I change my coverage level on the MED-200 plan?

Yes, individuals on the MED-200 plan can change their coverage level, subject to certain terms and conditions.