High Court rules on regulator’s bid to stop prepaid healthcare vouchers
The Registrar believes the products sold by Netcare Plus and Discovery Health constitute the business of a medical scheme.
Medical Schemes Act
Why policyholders complained to the short-term ombudsman in 2023
‘Lack of maintenance or wear and tear’ gave rise to most of the disputes in several categories of insurance.
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RAF tells medical schemes regulator to butt out of its dispute with Discovery Health
The fund says there is an ‘unholy alliance’ between the Council for Medical Schemes and the administrator to ‘misinform’ medical scheme members.
CMS weighs in on Discovery’s dispute with RAF over members’ claims
The Road Accident Fund’s directive is not in line with the Medical Schemes Act, the regulator says.
Ruling in dispute between Road Accident Fund and Discovery Health over claims
Medical schemes and administrators now know whether they can continue to claim from the RAF on behalf of their members.
Mom wins court battle against medical scheme to cover the cost of treating her son’s rare condition
An Alberton mom has won a significant court battle against her medical scheme, forcing it to pay for an expensive drug that her three-year-old son needs to treat a rare inherited genetic disorder. […]
Proposed increase in healthcare accreditation fees
It will cost R59 more to be accredited as a healthcare broker if proposed amendments to regulation 31 of the Medical Schemes Act (MSA) are adopted. The Minister of Health, Dr Joe Phaahla, […]
CMS proposes changes to the appointment of brokers by employers on behalf of employees
The Council for Medical Schemes (CMS) is proposing to introduce new guidelines on the appointment of brokers by employers on behalf of employees. In a circular published this week, the CMS said it […]
Healthcare Broker fee increase
Regulation 28(2), published in terms of the Medical Schemes Act, now effectively reads as follows: “Subject to sub-regulation (3), the maximum amount payable to a broker by a medical scheme in respect of […]
Update on Health Insurance Products
National Treasury (“NT”) released the Second Draft Demarcation Regulations for further public comment at the end of April. These Regulations specify which types of health insurance policies are permissible under the Long-term Insurance […]
