Coastal head of healthcare for Alexander Forbes Health, Victor Crouser, said the terminology used in medical scheme brochures was often confusing. Crouser offers the following tips:
Medical schemes are regulated by the Medical Schemes Act of 1998 and the Council for Medical Schemes has a responsibility to ensure compliance with the act. The council’s website is www.medicalschemes.com and one can find useful information regarding the legal aspects and management of medical schemes. The council also rules on disputes between members and their medical schemes.