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Medical scheme' average increases for 2015

Medical scheme' average increases for 2015

03 November 2014

There are approximately 3.9 million people who are fortunate enough to belong to a medical scheme in South Africa. Very few of these people will likely deny that a medical scheme membership plays a significant role in ensuring some form of peace of mind when it comes to contemplating the worry of not having access to private healthcare facilities. The cost of membership of a medical scheme is rising faster than inflation and the picture for 2015 looks no different to that of previous years.

Health demarcation… the never ending story

Health demarcation… the never ending story

01 October 2014

The reason that the Council for Medical Schemes (CMS) has pushed the demarcation issue so vehemently is the assumption that gap cover undermines the existence of medical schemes.

Draft regulations could revitalise the healthcare industry

Draft regulations could revitalise the healthcare industry

02 June 2014

The South African healthcare industry is currently undergoing significant changes while the Department of Health builds towards clarity and the implementation of the long awaited National Health Insurance programme.

The impact of Gap cover on PMB compliance and schemes design

The impact of Gap cover on PMB compliance and schemes design

01 April 2014

When prescribed minimum benefits (PMB) were introduced as law into the medical scheme environment, they introduced a new methodology as to how costs were to be managed. Schemes set about setting up preferred provider networks known as Designated Service Providers (DSP) as well as the processes required by members in order for defined PMBs to be covered.

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Reducing medical aid costs: curative vs preventative health models

Reducing medical aid costs: curative vs preventative health models

01 April 2014
Gap cover... light at the end of the tunnel?

Gap cover... light at the end of the tunnel?

01 November 2013
Contradictions in medical legislation will impede success of NHI

Contradictions in medical legislation will impede success of NHI

01 November 2013
Real challenges for schemes and administrators

Real challenges for schemes and administrators

01 November 2013
Benefits becoming a sticky issue

Benefits becoming a sticky issue

01 November 2013
The POPI Bill and medical schemes

The POPI Bill and medical schemes

01 November 2013
Do health management programmes help?

Do health management programmes help?

01 November 2013
Digging deep for health benefits

Digging deep for health benefits

01 November 2013
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