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Friday, 13 June, 2025
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Medical Schemes

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...