Note: We are updating 2024 benefits as they are released. Some plans show old benefits until schemes release new plans.

Medical Schemes Act

What is the medical Schemes Act?

It is the official Act that lays down the laws that are applicable for the setup and administration of a medical aid scheme. It defines PMBs, waiting periods and Late Joiner Penalties.

It also establishes the Council for Medical Schemes, which oversees all the schemes.

The Medical Schemes Act cites its purpose as:

  • To consolidate the laws relating to registered medical schemes;
  • to provide for the establishment of the Council for Medical Schemes as a juristic person;
  • to provide for the appointment of the Registrar of Medical Schemes;
  • to make provision for the registration and control of certain activities of medical schemes;
  • to protect the interests of members of medical schemes;
  • to provide for measures for the coordination of medical schemes;
  • and to provide for incidental matters.

The full Act can be viewed here.


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