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Medical schemes take regulator to court over cheap options

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Photo taken in Brussels, Belgium
Photo taken in Brussels, Belgium
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The body representing most of the medical schemes in SA, the Board of Health Funders (BHF), has launched legal action against the industry regulator to prevent it from killing low-cost benefit options (LCBO).

The Council for Medical Schemes (CMS) announced plans to disallow these schemes at the end of 2019.

Aimed at low-income earners, these schemes offer cheap membership fees of only a couple of hundred rand a month. Typically, no private hospitalisation cover is provided – only primary healthcare. Prescribed minimum benefits – like cancer care and some chronic medications – are also not covered.

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