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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.
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.
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.
The Council for Medical Schemes has published a discussion document analysing challenges in the current Prescribed Minimum Benefits (PMB) framework. This document invites stakeholders to engage with proposed reforms aimed at making medical scheme cover more affordable.
The Council for Medical Schemes provides practical information on endometriosis, including diagnosis, treatment, and care costs covered under Prescribed Minimum Benefits (PMBs), regardless of a member’s plan benefits.
The Council for Medical Schemes offers details on ovarian cysts, including diagnosis, management, and how PMBs cover consultations, investigations, medication, or surgery depending on individual needs.
The Council for Medical Schemes provides guidance on what pregnancy-related care is covered under Prescribed Minimum Benefits (PMBs), clarifying expectations and limitations based on individual circumstances and scheme rules.
Stakeholders can review and provide feedback on the draft Section 59 Investigation Report, which was released on 3 April 2020. Comments must be submitted during the designated comment period following publication.
Medical scheme members are encouraged to attend their scheme's Annual General Meeting to engage with governance, review financial performance, and participate in key decisions such as electing trustees and appointing auditors.
The National Department of Health is seeking nominations from suitably qualified individuals for appointment to the National Ministerial Advisory Committee on Antimicrobial Resistance. This opportunity allows individuals with relevant expertise to contribute to national policy on antimicrobial resistance.
The Council for Medical Schemes has released its annual report for the 2018/19 financial year. This document provides detailed insights into the performance and operations of the medical schemes industry during that period.
The annexures related to the Annual Report 2017/18 are available for download in PDF format. These contain supplementary data and detailed breakdowns of the report's findings.
