Discovery Health’s quest for reimbursement from the RAF for medical expenses incurred by road accident victims has faced multiple legal hurdles, with new RAF directives complicating the situation.
Associate Professor Tasleem Ras’s analysis of a patient’s case highlights critical pitfalls in cancer care.
Schemes and healthcare professionals are at odds over whether these recoveries are justified, says the Council for Medical Schemes.
The investigation into the Road Accident Fund has uncovered a significant rise in default judgments, accumulating to R4.7 billion from 2018 through the second quarter of 2023.
The group attributed the turnaround in motor insurance to managing claims inflation and improving risk selection, resulting in a significant reduction in claims frequency.
As the two-pot retirement system goes live on 1 September, intermediaries must prepare to guide clients through the new structure.
Tarina Vlok, MD of Elite Risk Acceptances, explains the importance of educating policyholders about their insurance coverage and exclusions.
The medical scheme says it will use its reserves to limit contribution increases, while possibly improving members’ benefits and reducing co-payments.
Medihelp submitted a CMS-approved three-year plan, requiring gradual contribution increases to restore its reserves to the statutory 25% level.
The important statistic is the proportion of personal lines complaints relative to an insurer’s share of the total personal lines claims.
According to the latest SAPS crime statistics, there were 5 973 carjackings in the fourth quarter of 2023.
During National Youth Month, Marius Kemp from Santam emphasises the importance of insurance for young people, who often lack emergency savings.
The number of claims is expected to rise, and storm-hit policyholders in KwaZulu-Natal will also be filing claims.
Life insurance payouts rose in 2023, while Covid-19 claims fell sharply, indicating the virus’s shift from pandemic to endemic status.
Claims for cancer treatment and maintenance therapy rose by almost 8% in 2023.
Preliminary data released by the Council for Medical Schemes highlights key trends in the industry last year.
Loadshedding has surged to the forefront of insurance concerns, eclipsing traditional threats such as fire and theft, according to Santam’s 2023 Insurance Barometer.
