The document titled 'PS Vs Government Employees Medical Scheme and The Registrar of Medical Schemes' is available for download. It provides official information related to the registration and regulation of this medical scheme by the Council for Medical Schemes.
Who it is for
members of the Government Employees Medical Scheme, regulated medical schemes, medical scheme administrators, the public interested in medical scheme regulation
How to act on it
Visit the Council for Medical Schemes website and navigate to the document listing page
The public can download a legal case record from the Council for Medical Schemes' portal. The document details a dispute between DR TJ Mashamba and the Government Employees Medical Scheme, created on 17 November 2015 and last updated on 18 May 2020.
The public can download a legal case record titled 'C Berg vs Profmed Medical Scheme' from the Council for Medical Schemes website. The document is available for viewing and downloading without any application or registration process.
The Council for Medical Schemes has made available a discussion document on model rules for medical schemes. This document outlines proposed regulations and standards for medical schemes and is intended for review and feedback by stakeholders.
The public can download the full legal case document between the Government Employees Medical Scheme (GEMS), the Registrar of Medical Schemes, and NM, AM. This document is available for review and contains details of the dispute as recorded by the Council for Medical Schemes.
The public can download a legal notice issued by the Council for Medical Schemes on 12 July 2016, which concerns a dispute between Discovery Medical Scheme and the Registrar.
Who it is for
members of the public, medical scheme participants, legal professionals, regulators
The public can download a copy of the official record of the appeal between Discovery Health Medical Scheme and AJ, which details a regulatory decision made by the Council for Medical Schemes.
Who it is for
members of the public, medical scheme participants, legal professionals, researchers
For patients with HCC not treatable under PMB regulations, DTP code 260S may be applied based on clinical assessment. This covers comfort care, pain relief, and hydration for patients with imminent death regardless of diagnosis.
Medical schemes must fund the diagnosis and treatment of treatable hepatocellular carcinoma under DTP code 950G. This includes all necessary tests and therapies qualifying as PMB-level care, as defined in the Council's guidelines.
The Council for Medical Schemes has published detailed guidelines specifying which tests and treatments qualify as PMB-level care for HCC, helping healthcare providers and schemes determine eligibility.
This is a form that auditors and medical schemes can use to apply for or demonstrate compliance with the requirements for auditor approval under the regulations set by the Council for Medical Schemes. It includes questions about auditor qualifications, experience, and adherence to professional standards.
This document provides a list of financial service providers that were officially registered with the Council for Medical Schemes as of 31 December 2009. It serves as a reference for verifying registration status at that time.
Who it is for
Who it is for
members of the public, legal professionals, medical scheme stakeholders
How to act on it
Visit the Council for Medical Schemes website and access the 'Access to Information Portal' to download the file
