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Medical Schemes
Only 15% of South Africans on medical aid
Countless working-class South Africans can no longer afford medical aid, according to general secretary of the Public Service Co-ordinating Bargaining Council Frikkie de Bruin,...
Shrinking proportion of South Africans on medical aid
The number of South Africans belonging to medical schemes overshot the 9m mark for the first time in 2022, but rapid population growth means...
Capping medical aid hikes won’t solve healthcare woes
The stark reality is that the South African private healthcare sector, in its current format, is unsustainable, writes Gary Feldman in Business Day, but...
Mediclinic's alleged irregular billing sparks forensic probes
A whistle-blower’s allegations – that six Mediclinic hospitals are guilty of irregular billing practices – have opened a can of worms, with forensic investigations...
How medical aid premiums are calculated and spent
The Council of Medical Schemes (CMS) recently announced that 2024 monthly premium increases should be capped at 5%, but with permission, this could rocket up...
Consumers shoulder burden of medical aid schemes fraud
Fraud and abuse are being practised by medical schemes that are failing to pay out prescribed minimum benefits (PMB) to members, forcing consumers to...
Special medicines fund proposal as medical aids under pressure
Against the backdrop of a stagnant medical-scheme growth environment, escalating costs of care and government dragging its feet on low cost medical aid options,...
Medical aid schemes shrink, but member numbers grow
Although the number of registered medical schemes continued to decrease over the past year, the number of principal members had increased by the end...
CMS reversal on low-cost benefits amounts to 'Let them eat cake' — Agility CEO
The Council for Medical Schemes' abrupt prohibition of low-cost benefit options will have "far-reaching and harmful effects, not least on the poor which these...
CMS move to scrap low-cost plans is 'catastrophic and unconstitutional'
The Council for Medical Schemes has stunned the private health care sector with its decision to scrap by March 2021 the pared-down schemes and...