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Regulation 8 amendment… Balancing the protection of medical schemes against the protection of medical scheme members in the light of very high claims?

17 May 2016

Despite the divergent views of all the interested parties, the above ambiguous question can only be answered with a “yes” with reference to the above two opposing and paradox opinions on this rather complex issue.

Potential amalgamation between Bonitas Medical Fund and Liberty Medical Scheme

17 March 2016

Two of South Africa’s most prominent medical schemes, Bonitas Medical Fund (‘Bonitas’) and Liberty Medical Scheme (‘LMS’), are in discussions to amalgamate to create an even stronger and more sustainable medical scheme that will provide enhanced cover and benefits to their respective members. If successful, the amalgamation will further entrench Bonitas’ role as a leader in the healthcare market.

Court ruling: is the cheapest hospital plan all you now need?

16 March 2016

All medical schemes have to pay PMB benefits in full in the private sector, according to a judgement of the Supreme Court of Appeal. Does this override your scheme’s benefit schedule?

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.

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CMS lifts curatorship of Hosmed Medical Scheme

24 February 2016

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

18 February 2016

Maximise medical aid savings, make benefits last longer

08 February 2016

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

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Healthcare / Medical Schemes