The National Department of Health (NDoH) has advised that the first confirmed case of COVID-19 (coronavirus disease 2019) has been reported in Kwa-Zulu Natal. To allay possible fears regarding cover for Medihelp patients, you can advise your clients of the following key factors to consider.
The Gauteng Division in Pretoriea, has on 23 August 2019, placed Thebemed Medical Scheme under provisional curatorship following a successful application by the Registrar of the Council for Medical Schemes (CMS), in terms of Section 56(1) of the Medical Schemes Act, No. 131 of 1998 (the MS Act), and Section 5(1) and (2) of the Financial Institutions (Protection of Funds) Act 28 of 2001 (the FI Act).
Further to our last communication regarding the proposed amalgamation between Topmed and Fedhealth, I am pleased to advise that the intention is to amalgamate with effect 1 August 2019, subject to the relevant authorities’ approval.
As mentioned in our previous communication, the Members of both schemes needed to vote on the proposed amalgamation. Good news!
The majority of Members who voted, both from Topmed and Fedhealth, voted in favour of the amalgamation.
The past few years have seen a number of debates and developments in the medical scheme industry. When the regulators introduced the then new Medical Schemes Act some twenty years ago they left out two most critical components to support the survival of schemes. These were “compulsory membership” and “a risk equalisation funding model” which would ensure that the young and healthy lives participate in the system.
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