PMBs can save you money but you need to know the facts
Can a lack of knowledge regarding Prescribed Medical Benefits mean that you end up paying for bills that your medical scheme should cover? As per the Council for Medical Schemes (CMS), PMBs are a set...
View ArticleRegulator of medical schemes releases Annual Report
The Council for Medical Schemes (CMS or Council) has just released its latest Annual Report, for the 2011-2012 financial year. The report, consisting of three separate documents, can be downloaded from...
View ArticleMedical Aids – are we in for greater pricing regulation?
The Council for Medical Schemes (CMS) annual report released last week provides for much reflection on the state of cover for medical expenses in South Africa. That which is most interesting is the...
View ArticleMomentum Health value proposition even more powerful in 2016
Strict legislative requirements marked the introduction of the new Medical Schemes Act no.131 of 1998, some 15 years ago. These included open enrollment where no applicant can be denied membership,...
View ArticleMedical Insurance vs Medica Schemes: An insight into the Demarcation Act...
South Africa’s healthcare landscape has faced much volatility in recent years, not least in terms of legislation. This has led to a number of key proposed changes to the industry in the form of...
View ArticleCMS statement that medical aids are in good health is overly simplistic...
The recent claim by the medical schemes industry regulator, the Council for Medical Schemes, that the industry is in a sustainable position is in stark contrast to the pervasive problems currently...
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