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In the interests of beneficiaries – Discovery Health versus RAF

What will be the consequences that may befall medical schemes (aids) and its members if medical schemes are prohibited from claiming past medical expenses from the Road Accident Fund (RAF)? Furthermore, can medical schemes be financially viable without recouping from RAF? Mfana Maswanganyi, identified the seven errors of the Mlambo judgement and provided legal analysis of the potential implications the judgement may have to the medical scheme’s environment. This is a summarised version of the lengthy analysis.

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