Cap on healthcare broker fees increases by 4%
The Minister of Health has approved an increase of slightly more than 4% in the maximum monthly fee payable to healthcare brokers. From 1 January, the maximum fee for introducing a member to […]
Medical Schemes
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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The five medical schemes that pay brokers above the industry average
Five medical schemes – including Discovery, the country’s biggest by number of beneficiaries – paid commissions to brokers above the industry average last year, according to the Council for Medical Schemes (CMS) annual […]
Medical Schemes – Broker fees increased
The Council for Medical Schemes (CMS) recently announced the approval of an increase in the maximum amount payable to brokers in terms of Section 65 of the Medical Schemes Act (131 of 1998). […]
CMS and FPI host webinar on Covid-19 as PMB
The Council for Medical Schemes, in collaboration with the FPI, will host a webinar on Tuesday, 30 March 2021 to inform healthcare brokers and members of medical schemes about the latest developments and […]
CMS and FPI host webinar on Covid-19 as PMB
The Council for Medical Schemes, in collaboration with the FPI, will host a webinar on Tuesday, 30 March 2021 to inform healthcare brokers and members of medical schemes about the latest developments and […]
CMS invites role players to webinar on fraud, wastage and abuse
Following the inquiry into allegations of unfair racial discrimination and procedural unfairness by medical schemes, the Council for Medical Schemes (CMS) in collaboration with the Health Professions Council of South Africa (HPCSA) will […]
How do medical schemes treat substance abuse?
Substance abuse is on the increase in South Africa and at least 15% of South Africans are said to have a substance abuse problem according to 2016 statistics. Alcohol, marijuana (dagga), cocaine, tik […]
How do medical schemes treat substance abuse?
Substance abuse is on the increase in South Africa and at least 15% of South Africans are said to have a substance abuse problem according to 2016 statistics. Alcohol, marijuana (dagga), cocaine, tik […]
SA vaccine rollout – How will medical schemes be impacted?
As South Africa received the first batch of Covid-19 vaccines that are expected to help the country’s efforts to stem the Covid-19 virus, medical aid umbrella bodies assured members that their medical scheme […]
Section 59 interim investigation report on racism – Constitutional expert weighs in on validity
“Critics of the report fail to understand the findings. The report DOES NOT say legitimate investigations of wrongdoing is racist because it identified more black wrongdoers, it says, the med schemes have not […]
Interim report alleges possible discrimination against black practitioners
After various delays, including an urgent application to interdict the release, the Section 59 Interim Investigation Report into allegations of unfair racial discrimination and procedural unfairness, intended for release in December 2020, was […]
Medical schemes – Guidance on benefit changes and contribution increases for 2021
In a recent circular, the Council for Medical Schemes (CMS) prescribes requirements that must be adhered to by medical schemes for the assessment of annual medical scheme contribution increases, and benefit changes for […]
Circular 28 of 2020: COVID-19 Medical Schemes Industry Guidelines
The Council for Medical Schemes (CMS) is implementing measures within the ambit of the Medical Schemes Act to assist medical schemes to adapt to the adverse effect of the coronavirus pandemic, which threatens […]
Low Cost Benefit Options exemption – Council for Medical Schemes update
Towards the end of 2019, the Council for Medical Schemes (CMS) published two circulars announcing its future plans for Low Cost Benefit Options (LCBO) and the Demarcation Exemption Framework. The timing and one-sidedness […]
Brand Awareness Survey – Aims to improve CMS’ service levels
The Council of Medical Schemes (CMS) is conducting a survey for medical scheme members and beneficiaries to gauge the level of their awareness regarding the services offered by the CMS to members and […]
Updates from Medical Schemes Council – Consolidation of smaller funds and Low-Cost Benefit Package reviewed
In September 2018, the Council for Medical Schemes (CMS) published a Draft Framework for Medical Schemes Consolidation for comment. In response to these comments the CMS has done additional analysis and as a […]
