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ConCourt dismisses Genesis application to appeal confirming liability of schemes to fund PMBs in private sector

26 February 2016

The Constitutional Court on 17 February dismissed, without a hearing, the application for leave to appeal by Genesis Medical Scheme against a judgment of the Supreme Court of Appeal, obliging the scheme to pay PMB benefits in full in the private sector. The application was dismissed for lack of prospects of success with costs awarded against Genesis.

CMS lifts curatorship of Hosmed Medical Scheme

24 February 2016

The curatorship of Hosmed Medical Scheme has been uplifted by the North Gauteng High Court in Pretoria yesterday (22 February) at the request of the Council for Medical Schemes (CMS), regulator of the medical schemes industry.

The role of a medical practitioner in a complaint by a member concerning access to medical scheme benefits

18 February 2016

Lodging a complaint with a medical scheme can be a traumatic process for a member especially where benefits may have been denied on technical grounds by a medical scheme and the benefits are desperately needed by the member in order to deal with a severe chronic condition such as any one of many cancers.

Maximise medical aid savings, make benefits last longer

08 February 2016

It’s tempting to want to splurge on over-the-counter vitamins and supplements or some other lifestyle item when medical aid benefits, limits and savings accounts get renewed come 1 January each year, especially after the costly festive season spending.

quick poll

Question

If you had to hazard a guess, when do you reckon the COFI Bill will be signed into law?

Answer

2026, as promised 2027 looks more likely Impossible to say More consultation needed

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Circular 74 of 2015: Benefit options for 2016 – open and restricted medical schemes

06 January 2016

There’s more to your medical aid choice than just the annual premium escalations

07 December 2015

CMS warns, only members of schemes allowed to appoint healthcare brokers of their choice

01 December 2015

SCA confirms that Genesis Medical Scheme has to pay for prescribed minimum benefits in full for treatment obtained at a private medical facility

26 November 2015

Tempers flare up as PMB causes more worries

24 November 2015

SCA confirms liability of scheme to fund PMBs in private sector

18 November 2015

CMS provides advice on choosing a medical scheme and benefit option for 2016

09 November 2015

CMS says medical schemes in healthy financial state

28 October 2015

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Healthcare / Medical Schemes