Genesis Medical Aid ( 🇿🇦 2025)
Overall, Genesis Medical Aid is a trustworthy and comprehensive medical aid that offers 24/7 medical emergency assistance to up to 3 Family Members. The Genesis Medical Aid starts from R1,610 ZAR for 2025.
Genesis Medical Scheme has the following plans:
- Genesis Medical Scheme MED-100
- Genesis Medical Scheme MED-200
- Genesis Medical Scheme MED-200 Plus
| 👤 The average number of members | 70,000+ |
| 1️⃣ Number of Markets | 1 |
| 👥 Number of Employees | 100 – 500 |
| 3️⃣ Average Customer Rating | 3.7 |
| 💯 Average Number of Reviews | 100+ |
| 📌 Market Share | <1% |
| 3️⃣ The number of plans offered | 3 |
| 🏥 Number of Hospitals in Network | 187+ |
| 🏡 Home Care | Only home visits |
| 📱 Mobile App | ✅ Yes |
| 💻 Medical Claims Portal | ✅ Yes |
| 😷 Information Hub for COVID-19 | ✅ Yes |
| ➡️ Chronic Illness Benefits | ✅ Yes |
| ↪️ Number of PMB Diagnoses | 271 |
| ☑️ Number of PMB Chronic Conditions | 27 |
| 📉 Screening and Prevention offered | ✅ Yes |
| 🍼 Maternity Benefit | ✅ Yes |
| 💶 Medical Aid Contribution Range (ZAR) | R1,610 – R3,200 per month |
| 🔁 Average Waiting Period | 3 – 12 months |
| 💵 Late-joiner penalties charged | ✅ Yes |
Genesis Medical Scheme – Analysis of Medical Aids Main Features
- ☑️ Genesis Medical Scheme Plan Overview
- ☑️ Genesis Medical Scheme – Advantages over Competitors
- ☑️ How to apply for Medical Aid with Genesis Medical Scheme
- ☑️ How to Submit a Claim with Genesis Medical Scheme
- ☑️ How to Submit a Compliment or Complaint with Genesis Medical Scheme
- ☑️ How to Switch my Medical Aid to Genesis Medical Scheme
- ☑️ Genesis Medical Scheme Customer Support
- ☑️ Genesis Medical Scheme vs Notable Competitors – A Comparison
- ☑️ Genesis Medical Aid User Reviews
- ☑️ Genesis Medical Scheme Pros and Cons
- ☑️ Our Verdict on Genesis Medical Scheme
- ☑️ Genesis Medical Scheme Frequently Asked Questions
Genesis Medical Scheme Plan Overview
| 🔎 Plan | 💴 Contributions (Main) | 💵 Contributions (+ Adult) | 💶 Contributions (+ Child) |
| 1️⃣ MED-100 | R1,610 | R1,610 | R505 |
| 2️⃣ MED-200 | R2,225 | R2,225 | R645 |
| 3️⃣ MED-200 Plus | R3,200 | R3,200 | R645 |
Medical Aid Genesis Medical Scheme – Advantages over Competitors
Genesis Medical Scheme is a reputable medical aid scheme in South Africa with over 70,000 members. Other advantages include:
- ☑️ One of the main advantages of Genesis Medical Scheme is its affordability. The scheme offers a range of plans at various price points, allowing individuals to choose the plan that best suits their budget and healthcare needs.
- ☑️ Genesis is a non-profit organization, which means that any surpluses generated are reinvested back into the scheme for the benefit of its members.
- ☑️ Another advantage of Genesis is its comprehensive cover. The scheme covers various medical services, including hospitalization, chronic medication, and preventative care.
- ☑️ Members can access a network of healthcare providers, including doctors, specialists, and hospitals, ensuring they receive the best possible care.
- ☑️ Genesis also offers many unique selling points, such as its no-claim bonus. This bonus rewards members who do not make any claims during a year by offering them a discount on their premiums.
Genesis is known for its efficient claims processing and fast medical treatment authorization. Members can easily submit claims online, and the scheme typically processes claims within a few days.
How to apply for Medical Aid with Genesis Medical Scheme
Medical Aid Quote Genesis Medical Scheme process:
To apply for Medical Aid through Genesis Medical Scheme, you can follow these steps:
- ✅ Visit the Genesis Medical Scheme website at www.genesismedical.co.za and navigate to the “Join Now” section.
- ✅ Choose the plan that best suits your healthcare needs and budget. Genesis offers a range of plans at various price points, so take your time to compare and select the one that is most appropriate for you.
- ✅ Complete the online application form. You will need to provide personal and contact details, such as your name, address, and email address, as well as information about your health and any pre-existing conditions.
- ✅ Once you have completed the application form, submit it online.
- ✅ Genesis will review your application and contact you for additional information.
Get a Genesis Medical Aid quote from our Dedicated Medical Aid Specialists Broker
If your application is approved, Genesis will send you a confirmation letter, your membership card, and details of your coverage and benefits. You can then use your Genesis Medical Scheme membership to access healthcare services like doctor’s visits, hospitalization, and chronic medication.
You might also like 10 Must-know Medical Aid Benefits before you commit to any medical scheme.
How to Submit a Claim with Genesis Medical Scheme
Submitting a claim with Genesis Medical Scheme is a straightforward process. Here are the steps to follow:
- ☑️ Obtain the necessary documentation. This may include invoices, receipts, medical certificates, and any other relevant documentation relating to the medical treatment received.
- ☑️ Log in to the Genesis Medical Scheme member portal. You can do this by visiting the Genesis Medical Scheme website and entering your login details.
- ☑️ Click on the “Claims” tab and select “Submit a claim.”
- ☑️ Follow the prompts to complete the claim form. You will need to provide details about the medical treatment received, including the date of service, the name of the healthcare provider, and the cost of the treatment.
- ☑️ Upload the necessary documentation. You can do this by scanning or taking a photo of the documents and uploading them to the online form.
- ☑️ Submit the claim form. Once you have completed the form and uploaded the necessary documentation, click “Submit” to submit your claim to Genesis Medical Scheme.
Wait for the claim to be processed. Genesis Medical Scheme typically processes claims within a few days. You can check the status of your claim by logging into the member portal and checking the “Claims” section.
How to Submit a Compliment or Complaint with Genesis Medical Scheme
If you wish to submit a compliment or complaint to Genesis Medical Scheme, you can do so by following these steps:
- ✅ Log in to the Genesis Medical Scheme member portal on the website.
- ✅ Navigate to the “Contact Us” section and select “Compliments & Complaints” from the dropdown menu.
- ✅ Select “Compliment” or “Complaint”, depending on the nature of your feedback.
- ✅ Complete the online form, providing as much detail as possible about the compliment or complaint.
- ✅ Submit the form.
- ✅ Genesis will review your feedback and contact you for additional information.
- ✅If you have submitted a complaint, Genesis will investigate the matter and respond to you with their findings and any action taken.
Alternatively, you can submit a compliment or complaint by email or post. To do this, you must provide your name, membership number, contact details, and detailed explanation of your feedback. You can then send the email or letter to the address or email provided on the Genesis Medical Scheme website. It is important to note that Genesis Medical Scheme takes all feedback seriously and strives to provide excellent customer service. If you have a complaint, Genesis will investigate the matter and work to resolve the issue in a fair and timely manner. If you have a compliment, your feedback will be passed on to the relevant staff to recognize their good work.
How to Switch my Medical Aid to Genesis Medical Scheme
If you wish to switch your medical aid to Genesis Medical Scheme, you can follow these steps:
- ☑️ Research Genesis Medical Scheme and compare it with your current medical aid to determine if it meets your healthcare needs and budget.
- ☑️ Contact Genesis Medical Scheme’s customer service team to discuss your options and get more information about their plans. You can reach them by phone, email, or through the live chat feature on their website.
- ☑️ Once you have decided to switch to Genesis Medical Scheme, obtain a copy of the termination form from your current medical aid scheme. You can usually download this form from their website or request it via email or phone.
- ☑️ Complete the termination form, providing your details and the reason for termination. Ensure to follow the instructions on the form carefully and submit it within the required timeframe.
- ☑️ Once your termination has been processed, obtain an application form from Genesis Medical Scheme. You can download this form from their website or request it via email or phone.
- ☑️ Complete the application form, providing your personal and contact details and information about your health and any pre-existing conditions.
- ☑️ Submit the completed application form to Genesis Medical Scheme and any necessary supporting documentation, such as medical certificates or previous medical aid membership details.
- ☑️ Genesis will review your application and contact you for additional information.
- ☑️ If your application is approved, Genesis will send you a confirmation letter, your membership card, and details of your coverage and benefits.
It is important to note that switching medical aids may result in waiting periods for certain benefits, depending on your chosen plan and the terms and conditions of your previous medical aid. Therefore, review the benefits and rules of your new plan carefully and be aware of any waiting periods that may apply.
Also be aware of New Members 35 years or older may be subject to late-joiner penalties on Genesis Medical Aid Plans.
Genesis Medical Scheme Customer Support
Genesis Medical Scheme offers various customer support services to assist its members with questions or concerns. Here are some examples:
- Contact center: Members can contact the center via phone, email, or live chat on the website.
- Online portal: Members can access the Genesis Medical Scheme online portal to manage their membership, view their benefits, submit claims, and more.
- Mobile app: Genesis Medical Scheme offers a mobile app that allows members to access their membership information, view their benefits, and submit claims from their mobile devices.
- Member guides: Genesis Medical Scheme provides comprehensive member guides that explain the benefits, rules, and procedures of each plan, as well as information on how to access healthcare services.
- Newsletters: Genesis Medical Scheme sends regular newsletters to its members, providing updates on the latest news, initiatives, and events related to the scheme.
Genesis Medical Scheme has a strong social media presence, including Facebook, Twitter, and LinkedIn, where members can connect with the scheme and receive updates on its activities.
Medical Aid Comparisons : Genesis Medical Scheme vs Notable Competitors – A Comparison
| 🔎 Medical Aid | 🥇 Genesis Medical Scheme (2025) | 🥈 SAMWUMed (2024) | 🥉 Medshield (2024) |
| 📌 Years in Operation | 29 years | 71 Years | 55 Years |
| 📍 Average # Members | 70,000+ | 35,000+ | 250,000+ |
| 🅰️ GCR Rating | – | – | AA- |
| 🅱️ Number of Employees | 100 – 500 | 100+ | 500 – 1,000 |
| 🟥 Market Share | <1% | <1% | <5% |
| 🔴 Market Cover | South Africa | South Africa | South Africa |
| ❤️ Customer Rating | 3.7/5 | 3/5 | 3.5 |
| 💯 Number of reviews | 100+ | 20+ | 900+ |
| 🚩 Mobile App | Yes | Yes | Yes |
| 💴 Contribution Range (ZAR) | R1,610 – R3,200 | | 1,584 – 7,842 ZAR |
| 🚀 International Travel Benefit (ZAR) | No | No | – |
Genesis Medical Aid User Reviews
Exceptional Service.
I sincerely thank Genesis Medical Scheme for its exceptional service. Over 14 months, I was admitted to Rondebosch Medical Centre on two separate occasions for intensive care, surgery, and an MRI scan. The total cost of my medical bills exceeded R150k, yet Genesis provided full cover without hesitation. The staff at Genesis were prompt and efficient, with authorization for treatment being granted within seconds. I am extremely satisfied with the level of service provided by Genesis, which exceeded that of any other medical scheme I have been a part of. – Ruth Botha
Value for Money.
As a member of the Genesis entry-level plan, which includes hospitalization and basic dental care, I can confidently state that it offers the best value for money. I was unexpectedly hospitalized and required intensive care, with all associated costs fully covered by Genesis. This included 100% coverage for hospital expenses, the pathologist’s fees, the ER doctor’s fees, and 80% coverage for the cardiologist’s bill, which exceeded approved medical aid fees. I am more than willing to pay the difference with a smile, given the exceptional service provided by Genesis. – Monica van Tonder
The Best.
After being a member of Discovery Health for 15 years, I switched to Genesis Med Aid a decade ago. I must say that Genesis is unequivocally the best. They have always paid my claims unconditionally and have consistently been courteous and fair in their dealings with me. – Pamela Rikhotso
Genesis Medical Scheme Pros and Cons
| ✅ Pros | ❎Cons |
| Affordable pricing | Restrictions on certain benefits for some plans |
| Comprehensive cover for in-hospital and day-to-day medical expenses | Waiting periods for certain benefits |
| Extensive chronic medication cover | Limits on specialist consultations or medical procedures for some plans |
| Range of wellness benefits | Limited dental cover |
| Digital tools and services for easy management of healthcare needs | No gap cover option is available |
As Genesis does not have GAP cover option it is advisable to add Gap cover. You might consider Gap cover without any waiting period.
More reading about Gap cover Options:
Our Verdict on Genesis Medical Scheme
💙 Genesis Medical Scheme offers a range of comprehensive and affordable medical aid plans that cater to different healthcare needs and budgets. The plans cover in-hospital and day-to-day medical expenses, including chronic medication, specialist consultations, and diagnostic tests. In addition, the scheme offers a range of wellness benefits, such as preventative screening, mental health services, and maternity benefits.
💙 One of the main advantages of Genesis Medical Scheme is its value for money. The plans are competitively priced and offer extensive benefits, making them a good choice for those looking for comprehensive coverage at an affordable price.
💙 The scheme also offers a range of digital tools and services, such as an online portal and mobile app, that make it easy for members to manage their healthcare needs and track their benefits. However, one potential drawback of Genesis Medical Scheme is that some plans may restrict certain benefits, such as limits on specialist consultations or certain medical procedures. Members should carefully review the plan documents to ensure they meet their specific healthcare needs and preferences.
💙 Overall, Genesis Medical Scheme offers a comprehensive and affordable healthcare solution for individuals and families in South Africa. The scheme’s commitment to innovation, value for money, and customer support make it a good choice for those seeking high-quality healthcare coverage.
👉🏾 You might also like: Genesis Medical Scheme MED-100
👉🏾 You might also like: Genesis Medical Scheme MED-200
👉🏾 You might also like: Genesis Medical Scheme MED-200 Plus
Genesis Medical Scheme Frequently Asked Questions
What is Genesis Medical Scheme?
Genesis Medical Scheme is a South African medical aid scheme that offers affordable and comprehensive healthcare coverage to individuals and families.
What plan options are available with Genesis Medical Scheme?
Genesis Medical Scheme offers a range of plan options, including hospital plans, traditional comprehensive plans, and hybrid plans that combine elements of both.
Does Genesis Medical Scheme offer chronic medication coverage?
Yes, Genesis Medical Scheme offers extensive chronic medication coverage for a wide range of conditions.
What wellness benefits are included with Genesis Medical Scheme plans?
Genesis Medical Scheme offers a range of wellness benefits, including preventative screening, mental health services, and maternity benefits.
Does Genesis Medical Scheme offer digital tools and services for members?
Yes, Genesis Medical Scheme offers an online portal and mobile app for members to manage their healthcare needs and track their benefits.
How does the claims process work with Genesis Medical Scheme?
Members can submit claims online or via email. Genesis Medical Scheme will process the claim and reimburse the member for eligible expenses.
What is the waiting period for new members joining Genesis Medical Scheme?
Depending on the plan and individual circumstances, waiting periods may apply for certain benefits. Members should consult the plan documents for specific waiting period information.
Can I add a beneficiary to my Genesis Medical Scheme membership?
Yes, members can add beneficiaries to their membership by completing an application form and submitting it to Genesis Medical Scheme.
Is dental cover included with Genesis Medical Scheme plans?
Some Genesis Medical Scheme plans offer limited dental cover, but standalone dental plans are unavailable.
What is the customer support experience like with Genesis Medical Scheme?
Genesis Medical Scheme offers various customer support services to assist members with questions or concerns, including a contact center, online portal, and mobile app.
Can I switch my medical aid to Genesis Medical Scheme?
Yes, members can switch their medical aid to Genesis Medical Scheme by completing an application form and providing supporting documentation.
Is gap cover available with Genesis Medical Scheme?
No, Genesis Medical Scheme does not offer gap cover as a standalone product.
What are Genesis Medical Scheme network hospitals?
Genesis Medical Scheme has agreements with a network of hospitals and healthcare providers to offer members access to quality healthcare services. In addition, these network hospitals and providers offer preferred rates and benefits to Genesis Medical Scheme members.
What is the contact number for Genesis Medical Scheme?
The contact number for Genesis Medical Scheme is 0860 10 20 10. Members can use this number to speak to a customer service representative for assistance with any queries or concerns.
Where can I find Genesis Medical Scheme reviews?
Genesis Medical Scheme reviews can be found on various online platforms.
What is the provider contact number for Genesis Medical Scheme?
The provider contact number for Genesis Medical Scheme is 0860 10 20 80. Healthcare providers can use this number to obtain information about benefits, claims, and payment processes.
Who are the administrators of Genesis Medical Scheme?
Genesis Medical Scheme is administered by Medscheme Holdings, a leading healthcare administration and managed care organization in South Africa. Furthermore, Medscheme manages Genesis Medical Scheme’s day-to-day operations and supports members and healthcare providers.
How do I Downgrade my Plan with Genesis Medical Scheme?
If you wish to downgrade your plan with Genesis Medical Scheme, you can Log in to the Genesis Medical Scheme member portal on the website. Navigate to the “Membership” tab and select “Change Plan” from the dropdown menu. Select the plan you wish to downgrade to.
How do I add a Beneficiary to Genesis Medical Scheme?
If you want to add a child or adult dependent, you can log into your Genesis Medical Scheme profile and Log in to the Genesis Medical Scheme member portal on the website. Navigate to the “Membership” tab and select “Add a Beneficiary” from the dropdown menu.
