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New rules mean your medical scheme can no longer tell you which doctor to see

Ina Opperman
There is good news for consumers whose medical schemes force them to use specific doctors, pharmacies and other medical service providers.
Picture: Jacques Nelles
No more dedicated service providers for medical schemes will be allowed, according to a notice the Council for Medical Schemes (CMS) published recently in the
Government Gazette in terms of the Medical Schemes Act.
The notice declares the practices of some medical schemes to select designated healthcare providers as irregular or undesirable.
Dedicated service providers
Chapter 3 of the act allows medical schemes to select healthcare providers as dedicated service providers to diagnose, treat, and care for its members regarding prescribed minimum benefit conditions, but according to information passed on to the Registrar of Medical Schemes, some s ....

Council For Medical Schemes , Medical Schemes , Government Gazette , சபை க்கு மருத்துவ திட்டங்கள் , மருத்துவ திட்டங்கள் , அரசு கஸெட் ,

South Africa prepares for next phase of the NHI – which includes 'mandatory pre-payment'

South Africa prepares for next phase of the NHI – which includes ‘mandatory pre-payment’
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The Council for Medical Schemes (CMS) says that the government’s planned National Health Insurance is in full development, with plans to move to phase 3 of the programme from next year.
In its 2021/2022 annual performance plan, the CMS said that phase 3 will include mandatory pre-payment of the new scheme, contracting for accredited private hospital and specialist services, and finalisation and implementation of the NHI Act.
The NHI Bill was presented to and approved by cabinet in July 2019, and has been presented to parliament’s health portfolio committee. ....

South Africa , South African , National Health Insurance , Council For Medical Schemes , Medical Schemes , Medical Schemes Act , Public Finance Management Act , Central Beneficiary Registry , National Health , தேசிய ஆரோக்கியம் காப்பீடு , சபை க்கு மருத்துவ திட்டங்கள் , மருத்துவ திட்டங்கள் , மருத்துவ திட்டங்கள் நாடகம் , பொது நிதி மேலாண்மை நாடகம் , தேசிய ஆரோக்கியம் ,

Council of Medical Schemes declares co-payment 'undesirable'

Tuesday 4 May 2021 - 7:03pm
File: The medical aid administrator, which is in charge of Discovery, has made its submission at the Council for Medical Schemes.

JOHANNESBURG - Medical aid members may no longer have to worry about forking out high-co-payments if they do not use the network of doctors assigned by their schemes.
In a new notice in Government Gazette, the Council for Medical Schemes has declared this practice undesirable . ....

South Africa , Department Of Health , Council For Medical Schemes , Government Gazette , Medical Schemes , துறை ஆஃப் ஆரோக்கியம் , சபை க்கு மருத்துவ திட்டங்கள் , அரசு கஸெட் , மருத்துவ திட்டங்கள் ,

Mboweni publishes annual policy benefit escalations

Tito Mboweni
NATIONAL NEWS - Finance Minister Tito Mboweni has published the Annual Policy Benefit Escalations regarding the Demarcation Regulations, regulated under section 72 of the Long-term Insurance Act and section 70 of the Short-term Insurance.
In a statement on Wednesday, the Treasury said the regulations specify which types of contracts are regulated under the Long-term Insurance Act (LTIA) and the Short-term Insurance Act (STIA) as health policies, and accident and health policies, respectively, and accordingly are excluded from the Medical Schemes Act.
“Regulation 7.2(2) of the Regulations provides that all amounts referred to in sub-regulation (1) escalate annually, from the effective date, by the consumer price index (CPI) annual inflation rate published by Statistics South Africa,” read the statement. ....

South Africa , Tito Mboweni , Financial Sector Conduct Authority , National Treasury , Minister Tito Mboweni , Annual Policy Benefit Escalations , Demarcation Regulations , Long Term Insurance Act , Short Term Insurance Act , Medical Schemes , Statistics South Africa , நிதி துறை நடத்தை அதிகாரம் , தேசிய கருவூலம் , நீண்டது கால காப்பீடு நாடகம் , குறுகிய கால காப்பீடு நாடகம் , மருத்துவ திட்டங்கள் ,

SA would have probably been months ahead if medical schemes led vaccine rollout

SA would have probably been months ahead if medical schemes led vaccine rollout
biznews.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from biznews.com Daily Mail and Mail on Sunday newspapers.

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