Decline in hospital claims could mean lower premium increases – Momentum

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The Council for Medical Schemes (CMS) appears to be having second thoughts about its announcement that certain low-cost medical aid products will be illegal in just over a year
The Council for Medical Schemes (CMS) appears to be having second thoughts about its announcement that certain low-cost medical aid products will be illegal in just over a year

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In contrast, as early as May this year, there were more claims for medication than in 2019 – and these are increasing. This is evident from data from the Momentum Medical Scheme, one of the largest open health funds in the country, said Damian McHugh, marketing head of Momentum Health Solutions – which administers this fund and others – on Wednesday.

This rising trend in claims for medication may indicate that certain categories of claims and medical services paid from day-to-day benefits are recovering much faster than they did before Covid-19. This will therefore also affect health funds’ decisions on premium increases for next year, he said.

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