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Medical Schemes Act
Find the latest details and updates on the Medical Schemes Act 131 of 1998
Demarcation
Entities whose insurance products are exempted from doing business of a medical scheme
Submit a Complaint
Lodge a complaint if you are aggrieved with the medical scheme’s conduct.
Latest News
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CMScript 10 of 2024: Coding and funding of claims
Coding in healthcare is a simple, standardised system for recording and sharing information about medical conditions, treatments, and services. Instead of long medical terms, this system uses short codes that
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The CMS Industry Report 2023 is here!
The Council for Medical Schemes (CMS) is pleased to announce the release of the 2023 Industry Report together with Healthcare Utilisation Annexures. This highly anticipated Industry Report provides a comprehensive overview of
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Dr Musa Gumede appointed the new Chief Executive and Registrar of the CMS
The Council for Medical Schemes (CMS) has welcomed the appointment of Dr Musa Gumede as Chief Executive & Registrar, effective from 02 December 2024. Dr Gumede is currently eThekwini’s Deputy City
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A guide to understanding Prescribed Minimum Benefits
In terms of the Medical Schemes Act (131 of 1998), Prescribed Minimum Benefits (PMBs) are a set of specified healthcare benefits that medical schemes must cover by law. This cover
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