Category Archives: Medical Aid
Michael Settas, director: KaeloXelus</span>The two fundamental issues with the new white paper on National Health Insurance (NHI) are a single payer fund and the nationalisation of private healthcare without compensation.
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[[www.123rf.com 123rf.com]]</span>Medical scheme members are likely to lose their tax credits to help pay for the first set of benefits to be rolled out under National Health Insurance (NHI), Health Minister Aaron Motsolaedi said.
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“The reduction and elimination of fraud, waste and abuse will impact on medical aid contribution increases,” says Gerhard van Emmenis, Acting Principal Officer of Bonitas Medical Fund. More importantly, benefits could be enriched to pay for even more critical healthcare and treatments. He says, “Fraud, waste and abuse is one of the biggest contributors to escalating healthcare costs as the fee-for-service model of payment encourages people to over-charge or over-service for profit.”
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© Vichaya Kiatying-Angsulee [[www.123rf.com 123rf.com]]</span>Smaller medical schemes offer customers value for money, but lack the ability to attract new members, thereby affecting the ‘health’ for the scheme over the long term. This is one of the conclusions from GTC’s Medical Aid Survey for 2017.
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Brooks Mparutsa, executive director of Hollard’s international business.</span>Insurer Hollard planned “significant acquisitions” on the continent in the next few years and was partnering with global health insurer Cigna to offer health insurance to companies operating in Africa, said Brooks Mparutsa, executive director of Hollard’s international business.
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Photo: Mediclinic</span>The demarcation regulations clearly distinguish between medical insurance products and medical aid schemes. For the consumer, this means that while limited gap cover and hospital cash-back plans will still be allowed, primary healthcare insurance policies will no longer be available. All existing policies will need to align with the regulations from 1 January 2018.
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© Oleg Dudko [[www.123rf.com 123rf.com]]</span>Genesis medical scheme has won its legal battle with the Council of Medical Schemes over how to account for the funds in members’ medical savings accounts (MSAs), a development that has potentially far-reaching implications for both the industry and consumers.
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Community Medical Scheme has been placed under provisional curatorship by the High Court in Pretoria after the Council for Medical Schemes discovered alleged governance failings by its board.
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Gerhard van Emmenis, acting principal officer, Bonitas</span>Medical insurance products, including hospital insurance and gap cover, have got a (not necessarily undeserved) bad rap for overselling and under-delivering, to the extent that the National Treasury stepped in to ensure consumers are safeguarded.
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