Genesis Medical Aid covers up to 21 days of substance abuse rehab, including a 3-day medically supervised detoxification. Genesis recognises the severity of substance use disorders, which is why they extend comprehensive coverage to its members.
Members can claim additional benefits above their coverage for inpatient addiction treatment, including individual counselling. Members should check their plans to understand what benefits they qualify for.
At Changes Addiction Rehab, we extend Genesis’s services to its members. We prioritise the well-being of our clients, ensuring that they get the needed treatment for their substance use disorders.
Overview Of Genesis Medical Aid
Genesis Medical is a trusted healthcare provider in South Africa that offers its members comprehensive addiction treatment coverage with varying plans and premiums.
History Of Genesis Medical Aid
Genesis carries a proud legacy in the healthcare provider landscape within South Africa. Over the years, Genesis has introduced flexible plans to cater to its members’ diverse needs and budgets, making healthcare accessible. The scheme prides itself on maintaining high standards of customer service while catering to the vast audience of South Africa.
Substance Abuse Treatment Coverage
Genesis Medical Aid has set aside specific provisions for substance abuse treatment. Understanding these benefits helps members manage their expectations.
Inpatient Rehab Treatment
Inpatient rehab treatment is covered for up to 21 days, including a 3-day medically supervised detoxification. Inpatient treatment is where individuals receive the most intensive care for their substance use disorders.
At Changes Addiction Rehab, our multidisciplinary team works with our clients to create tailored programs to suit their needs to ensure long-term recovery.
Detoxification
The detoxification process is a critical part and the first step of the inpatient treatment program. Detoxes manage withdrawal symptoms, reduce the risk of complications and increase the likelihood of long-term sustainable recovery.
Individual Counselling
Individual counselling is a cornerstone in mental health treatment centres. Members of Genesis Medical Aid can claim individual counselling sessions during their stay in residential inpatient drug and alcohol rehab.
Individuals will learn to identify their triggers and combat maladaptive addictive behaviours through intensive individual therapy during their inpatient rehab treatment stay.
At Changes Addiction Rehab, we employ different therapeutic modalities, including:
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavioural Therapy (DBT)
- BrainWorking Recursive Therapy (BWRT)
- Motivational Enhancement Therapy
- Family Therapy
- Occupational Therapy
Pre-Authorisation For Substance Abuse Treatment
The pre-authorisation process for Genesis Medical Aid is simple; however, members must ensure that the correct information is handed over to the scheme to avoid delay.
Pre-Authorisation For Genesis Medical Aid
Before being admitted into an inpatient rehab facility, a pre-authorisation process must be followed to be approved for treatment coverage from Genesis Medical Aid. This step ensures the treatment aligns with the scheme’s terms and conditions and covers the prescribed minimum benefits.
With your permission, our admissions team at Changes Addiction Rehab will do the pre-authorisation procedure on your behalf. We will phone Genesis and provide them with your ICD-10 codes, our facility’s practice numbers and any additional relevant information.
We prioritise the well-being of our patients and want your admission into our facility to be as efficient and stress-free as possible.
Claims Process For Genesis Medical Aid
After receiving treatment for their substance use disorders, members of Genesis Medical Aid can claim back from the scheme. For claims to be approved, members must follow the steps outlined sequentially.
When submitting claims, members must include:
- A completed claim form provided by Genesis Medical Aid.
- Supporting documentation by the chosen and approved facility.
- Invoices and receipts.
- Additional relevant documentation.
Members can submit their claims via email, online, in person or at designated post offices. Claims should be submitted within the timeframes stipulated by Genesis Medical Aid; failure to do so will result in claims being denied.
Conclusion
Genesis Medical Aid provides coverage for substance abuse treatment for up to 21 days in an inpatient treatment facility, including a 3-day medically supervised detoxification. The scheme offers various plans to accommodate their diverse client base with differing budgets and needs.
At Changes Addiction Rehab, we understand that every individual’s situation is unique, so our multidisciplinary team works round-the-clock to ensure each client gets individual care and tailored treatment plans; our goal is to see our patients achieve long-term, sustainable recovery.
Call us today to start your pre-authorisation procedure.
FAQs
What Types Of Substance Abuse Treatments Are Covered By Genesis Medical Aid?
Genesis Medical Aid covers residential inpatient rehab treatments for up to 21 days, including a 3-day medically supervised detoxification.
Are There Any Specific Exclusions For Substance Abuse Coverage In Genesis Medical Aid Plans?
Genesis Medical Aid does not cover luxury rehabs and treatments considered medically unnecessary. Additionally, coverage may be denied if it was not approved via a pre-authorisation procedure.
Does Genesis Medical Aid Cover Inpatient Rehab Treatment More Than Once Per Year?
No, Genesis Medical Aid only covers drug and alcohol rehab treatment once per year, running from January to January.