Council For Medical Schemes Waiting Periods

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Council for Medical Schemes (CMS) | Home

https://www.medicalschemes.co.za/

Welcome to CMS The Council for Medical Schemes is a statutory body established by the Medical Schemes Act (131 of 1998) to provide regulatory supervision of private health financing through medical schemes. About CMS Research Review A …

Frequently Asked Questions | Council for Medical Schemes

https://www.medicalschemes.co.za/consumer-assistance/faq/

The Medical Schemes Act, No. 131 of 1998 (the Act) came into operation on 1 February 1999. The Regulations in terms of the Act were introduced by Government Gazette No …

CMScript - Medical Schemes

https://www.medicalschemes.com/files/CMScript/CMScript5Of2013_2014.pdf

The act allows for two different waiting periods i.e.: • 3-months General Waiting Period – during this general waiting period no claims will be funded by the scheme • 12-months …

2020 Medical scheme waiting periods and late joiner …

https://www.discovery.co.za/wcm/discoverycoza/assets/medical-aid/underwriting/medical-scheme-wp-and-ljp.pdf

What waiting periods are According to the Medical Schemes Act 131 of 1998, medical schemes may apply waiting periods when new members join the scheme. During …

Publications | Council for Medical Schemes

https://www.medicalschemes.co.za/publications/

Acts and Regulations Amalgamation documents Annual Statutory Returns Utilisation System Articles Budgets and Gazettes Circulars CMScript CMS News Consumer Education …

Prescribed Minimum Benefits | Council for Medical …

https://www.medicalschemes.co.za/resources/pmb/

Prescribed Minimum Benefits (PMBs) are a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is …

Model Rules - Council for Medical Schemes

https://www.medicalschemes.com/files/circulars/MODEL%20RULES%20-%20final%2023%20June%202016.pdf

“Council” The Council for Medical Schemes established by Section 3 of the Medical Schemes Act. 4.12. “Cost” In relation to a benefit, the total invoiced amount payable in …

Waiting Periods- Medical Aid Schemes - Genesis Medical

https://www.genesismedical.co.za/waiting-periods-medical-aid-schemes/

According to the Medical Schemes Act, medical aid schemes are entitled to impose a 3 months general waiting period and / or a 12 months condition specific waiting period (s) for any pre-existing medical …

Gems to apply waiting periods to cut rising cost of …

https://www.iol.co.za/business-report/companies/gems-to-apply-waiting-periods-to-cut-rising-cost-of-hospital-claims-2061566

The Council for Medical Schemes has itself acknowledged that 25 percent is inappropriately high, particularly for large schemes. ... The Medical Schemes Act …

MEDICAL SCHEMES ACT NO. 131 OF 1998

https://www.medicalschemes.com/files/acts%20and%20regulations/msact19july2004.pdf

“general waiting period” means a period in which a beneficiary is not entitled to claim any benefits; [Definition of “general waiting period” inserted by s. 1 (f) of Act No. 55 of 2001.] …

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