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November and December are busy months for medical schemes as tariff increases for the following year are published, and changes on options are made.
South Africa’s healthcare landscape has faced much volatility in recent years, not least in terms of legislation.
The Retail Distribution Review (RDR) is the Financial Services Board’s way of guaranteeing that the financial services industry operates in an open, ethical manner.
Prescribed Minimum Benefits (PMBs) are a feature of the Medical Schemes Act, in terms of which medical schemes have to cover the costs related to the diagnosis, treatment and care of any emergency medical condition, a further limited set of 270 medical conditions (defined in the Diagnosis Treatment Pairs), and 25 chronic conditions (as defined in the Chronic Disease List).
The big-picture theme causing you and your clients the greatest concern is: