Syndicates and devious health professionals may target National Health Insurance

Criminal networks are targeting your medical aid rands but could you be part of the problem too? Criminal syndicates and unscrupulous doctors may be defrauding the private health sector of millions as experts warn that medical schemes may reach a breaking point. “The health care sector is being targeted by criminal syndicates and even devious […]
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Skok-voorbeelde van bedrog by mediese fondse aan die lig gekom

Die gesondheidsorgbedryf is in die visier van misdaadsindikate en onderduimse praktisyns. Dr. Gregory Pratt, mediese adviseur vir forensiese ondersoeke in die gesondheidsbedryf vir Medscheme, het op die beraad vir gesondheidsorgfinansiers in Kaapstad skokkende voorbeelde genoem van bedrog waarmee hy die afgelope maande te make gehad het. Mediese bedrog is so algemeen “omdat dit makliker gepleeg […]
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Healtcare Services Delivery need to change in Africa

Healthcare services delivery in Africa needs to change, but no-one is quite certain how. What is certain is that future trends will be driven by access to big data, to shape new models of care in driving innovative, affordable and accessible services, across this diverse continent. With 1,2bn people, many enjoying a longer life, and […]
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Genesis wins case on accounting for use of medical savings funds

On Tuesday, the Constitutional Court ruled that all funds paid by members to their schemes should be considered as assets, regardless of their intended use. Genesis medical scheme has won its legal battle with the Council of Medical Schemes over how to account for the funds in members’ medical savings accounts (MSAs), a development that […]
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Making Sense of Medical Aid Rates and Tariffs

The medical aid industry is known for confounding consumers with all sorts of complex terms. Among the most confusing of all are references to medical aid, or medical scheme, rates. Schemes and plans are quoted as covering the costs of in-hospital procedures up to 100%, 200% or 300% of the scheme rate or tariff. You […]
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Tax claims for your Medical Expenses

Putting in a claim for your medical expenses can be tricky when filing your tax returns. I’d like to know if one can claim for medical expenses: 1. If medical aid doesn’t cover for the expenses paid; and 2. What if medical aid is exhausted and I pay out of my pocket, can I claim […]
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What does the law say about Medical negligence claims?

Medical negligence can take place in so many ways, and as a result it sometimes appears impossible for the ordinary man on the street to know when and for what he may claim. In this article we highlight a few examples of possible negligence claims and the different forms of damages that can be claimed […]
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