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This is a reference table used by medical schemes to determine contribution levels based on implicit pricing. It provides a benchmark for calculating contributions and is intended for use by regulated medical schemes and their stakeholders.
- Who it is for:
- medical schemes, brokers, regulatory compliance officers, healthcare administrators
- How to act on it:
- Download the file from the official Council for Medical Schemes website
This is a reference table used by medical schemes to determine contribution rates for members. It provides standardized contribution figures that help ensure consistency and compliance across the medical schemes industry.
- Who it is for:
- medical schemes, scheme administrators, financial officers, and regulated entities in the medical aid sector
- How to act on it:
- Download the file from the official website of the Council for Medical Schemes
The Council for Medical Schemes has published the monthly industry community rate for January 2006. This document provides a standard rate used by medical schemes to determine contributions and benefits across the industry. It is available for download and use by all regulated entities in the medical aid sector.
- Who it is for:
- medical schemes, healthcare providers, and other regulated entities in the medical aid industry
- How to act on it:
- Download the file from the Council for Medical Schemes website
This document provides detailed guidelines for medical schemes and related entities to identify beneficiaries who may have risk factors under the REF (Risk Evaluation Framework) entry and verification criteria. It outlines procedures and standards for assessing beneficiary eligibility based on risk indicators.
- Who it is for:
- medical schemes, auditors, brokers, managed care organisations, healthcare providers
- How to act on it:
- Download the document from the official portal of the Council for Medical Schemes
This document outlines the prescribed minimum benefits (PMBs) for medical schemes in South Africa, including phased implementation schedules. It is available for download and use by medical schemes, healthcare providers, and other stakeholders to ensure compliance with regulatory requirements.
- Who it is for:
- registered medical schemes, healthcare providers, scheme administrators, compliance officers
- How to act on it:
- Download the document from the official website
This is a reference document that outlines the contribution rates and related financial parameters used by medical schemes in South Africa. It serves as a benchmark for calculating required contributions and is essential for compliance with regulatory standards.
- Who it is for:
- medical schemes, healthcare providers, scheme administrators, and members of medical schemes
- How to act on it:
- Download the file from the official website of the Council for Medical Schemes
This document contains detailed financial and operational data submitted by medical schemes for the period from the fourth quarter of 2005 to the second quarter of 2006. It is available for download by registered users of the Council for Medical Schemes portal.
- Who it is for:
- registered medical schemes, auditors, financial analysts, researchers, and regulatory personnel
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the document listing under 'Resources' or 'Statutory Returns'. Click the download link.
This document contains detailed financial and operational data submitted by registered medical schemes in South Africa for the period from the fourth quarter of 2005 to the second quarter of 2006. It is available for public download and can be used for research, compliance verification, or industry analysis.
- Who it is for:
- researchers, auditors, financial analysts, medical scheme administrators, and regulatory professionals
- How to act on it:
- Visit the official website and click the download link for the file
The Council for Medical Schemes provides a downloadable procedure document that outlines the accreditation process for entities operating within the medical schemes sector. This includes access to portals and compliance requirements.
- Who it is for:
- medical schemes, auditors, brokers, brokerages, regulated entities, healthcare providers, compliance officers
- How to act on it:
- Download the document from the official website using the provided link or navigate through the portal links listed.
The Council for Medical Schemes makes available a research document detailing the prevalence of chronic diseases among members of medical schemes in South Africa, originally presented in April 2007. The report is accessible for download and provides insights into long-term health trends and scheme utilization.
- Who it is for:
- medical scheme members, healthcare researchers, policymakers, industry professionals
- How to act on it:
- Visit the official portal and download the file from the provided link
This form allows individuals to formally register a complaint against a registered broker who is involved in the provision of medical scheme services. It is used to initiate a formal review by the Council for Medical Schemes.
- Who it is for:
- consumers or clients who have issues with a medical scheme broker
- How to act on it:
- Download the form from the website, complete it, and submit it to the Council for Medical Schemes via email or postal address
Health care brokers and broker organisations can apply for accreditation under the requirements and processes outlined in this policy document. The accreditation ensures compliance with standards set by the Council for Medical Schemes.
- Who it is for:
- health care brokers and broker organisations
- How to act on it:
- Apply through the Council for Medical Schemes using the procedures detailed in the policy document.