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This document records a formal appeal filed by Genesis Medical Scheme against a decision made by the Council for Medical Schemes. It is part of the public record of the Council's appeal process and may be accessed by interested parties for transparency.
- Who it is for:
- medical schemes, regulated entities, healthcare consumers, legal representatives
- How to act on it:
- Download the document from the Council for Medical Schemes website using the provided link
The Council for Medical Schemes provides Version Five of the EnV Guidelines, which outline the criteria and procedures for identifying beneficiaries who have risk factors as defined under the REF (Risk Evaluation Framework) entry and verification standards. These guidelines are intended to support medical schemes, auditors, brokers, and other regulated entities in ensuring compliance with regulatory requirements related to beneficiary risk assessment.
- Who it is for:
- medical schemes, auditors, brokers, managed care organisations, healthcare providers, regulated entities
- How to act on it:
- Download the document from the official website portal
Former members of Omnihealth may be entitled to receive approximately R33 million in personal medical savings account funds that were owed to them. The court has ordered that this money be repaid.
- Who it is for:
- former Omnihealth members with outstanding PMSA balances
- How to act on it:
- Contact the Council for Medical Schemes for information on how to claim the repayment
Former members of Omnihealth may be entitled to receive approximately R33 million in personal medical savings account funds that were owed to them. This is based on a court judgement ordering the repayment of these funds.
- Who it is for:
- former Omnihealth members who held a personal medical savings account
- How to act on it:
- Contact the Council for Medical Schemes for information on how to claim the repayment of PMSA funds
The Council for Medical Schemes provides a downloadable ruling document from an appeal case between BT and Discovery Health Medical Scheme. This document is publicly available for review and may be used as a reference in similar disputes.
- Who it is for:
- members of medical schemes, legal professionals, medical scheme administrators, individuals involved in appeals against medical schemes
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the appeal ruling section to download the file
The Council for Medical Schemes provides public access to a legal case file concerning a dispute between an individual (Dr M) and Metropolitan Medical Scheme. This document contains details of the case as managed by the Council.
- Who it is for:
- members of the public, medical scheme members, legal professionals, researchers
- How to act on it:
- Download the file from the Council's website via the provided link
The document provides information about the distinction between telemedicine and registrar services within the medical schemes industry. It is available for download by anyone interested in understanding regulatory guidance related to telemedicine use and reporting.
- Who it is for:
- members of the public, medical schemes, healthcare providers, administrators
- How to act on it:
- Visit the Council for Medical Schemes website and download the file directly
The document titled 'SelfmedvK' is available for download. It contains information about the Selfmed Medical Scheme versus CK, including details on regulatory actions or disputes.
- Who it is for:
- members of the public, medical scheme administrators, regulated entities
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the document listed under 'SelfmedvK'. Click the download link to access the file.
The public can access and download the legal document titled HF_vs_CMS_n_PROFMED, which relates to a dispute between Health Fund (HF), the Council for Medical Schemes (CMS), and Profmed. The document is available for free via the Council’s website.
- Who it is for:
- members of the public, researchers, healthcare professionals, legal practitioners, industry stakeholders
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the document using the provided link or portal.
The Council for Medical Schemes provides online access to the AlimagvRegistrar portal for authorised users such as medical schemes, auditors, brokers, and administrators. This portal allows users to manage and submit information related to medical scheme regulation and compliance.
- Who it is for:
- medical schemes, auditors, brokers, brokerage firms, administrators, regulated entities
- How to act on it:
- Visit the official website and navigate to the AlimagvRegistrar portal using provided login credentials
This document is available for download and provides information about regulated entities and access portals managed by the Council for Medical Schemes. It includes details on various systems used by auditors, brokers, administrators, and other authorized personnel.
- Who it is for:
- regulated medical schemes, auditors, brokers, administrators, authorized personnel
- How to act on it:
- Download the file from the provided link
The public can download the M vs Discovery legal case document from the Council for Medical Schemes' website. This is a formal legal record related to a dispute involving a medical scheme.
- Who it is for:
- members of the public, legal professionals, medical scheme regulators
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the document via the provided link or file listing.