Healthcare / Medical Schemes

Medical schemes financial performance improves, but rising claims may impact future performance

Since the deterioration in claims experience evidenced in 2009, most medical schemes have shown a significantly improved financial performance over the last three years. As stated in Global Credit Ratings’ (GCR) latest Medical Schemes Ratings Bulletin – which collated information from data of 15 of the largest open schemes in 2012, this follows the implementation of subsequent corrective risk management measures, whilst increased efforts have also been placed on containing relative non-healthcare expenditures. However, a gradual increase in claims trends so far this year could see the industry exhibit slightly weaker operating trends going forward.

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Discovery Health response on cover for motor vehicle accidents and claims from the Road Accident Fund

In response to inaccurate statements being shared on social media regarding how Discovery Health Medical Scheme pays claims for motor vehicle accidents and refunds from the Road Accident Fund (RAF), we would like to provide the correct information.

Spectramed and Liberty Medical Scheme Amalgamation

Spectramed and Liberty Medical Scheme are proud to announce the amalgamation of their two schemes. Following the earlier announcement this year the amalgamation agreement and exposition document have now been signed. The exposition document relating to the transaction has been submitted to the Registrar of Medical Schemes on 16 September 2013 and is thus available for inspection at his offices. The exposition document is also available for inspection at the two scheme’s offices.