Moonstone.co.za

‘Many years’ to go before NHI poses a threat to medical

WEB“It’s too soon to panic.” That’s the message to medical scheme members from Dr Ryan Noach, the chief executive of Discovery Health, after the National …

Actived: 5 days ago

URL: https://www.moonstone.co.za/many-years-to-go-before-nhi-poses-a-threat-to-medical-schemes-says-discovery/

COB: Health Services Benefits

WEBThe purpose of this course is first to provide you with an overview of the main role-players and market participants in the financial services sector, as well as an overview of the …

Category: Course Go Health

CMS releases guidelines on medical scheme increases for 2024

WEBThe Council for Medical Schemes (CMS) has advised schemes to limit their contribution increases for 2024 to 5% plus “reasonable” utilisation estimates, to protect …

Category: Medical Go Health

Demarcation of health insurance products

WEBThree categories 2 of health insurance products are of particular relevance to the demarcation, namely: Medical Expense Shortfall policies (Gap cover plans): …

Category: Medical Go Health

Moonstone Business School of Excellence – Moonstone Business …

WEBMain contents of class of business training include: general features and benefits of the class and sub-classes | costs and risks | tax implications | legislation | market …

Category: Health Go Health

How the top open medical schemes’ contribution increases

WEBBestmed, Fedhealth and Medshield have had the highest average annual contribution increases among the top open medical schemes over the past 15 years, …

Category: Medical Go Health

Class of Business (COB) – Moonstone Business School of Excellence

WEBThe Class of Business modules include all the sub-classes of the specific class i.e if a person does Short-term Insurance: Personal Lines they will do all the sub-classes for …

Category: Health Go Health

Here are the contributions Discovery members will pay in 2023

WEBDiscovery said the three-month deferral of the 2023 contribution increases means that, in comparison to the contributions paid in December 2022, the average …

Category: Health Go Health

CMS publishes list of approved medical scheme options for 2024

WEBThe three options offered by Cape Medical Plan and Genesis Medical Scheme, respectively, will have new names from 1 January. The circular shows that the …

Category: Medical Go Health

Navigating 2024: key trends shaping the future of the insurance

WEBWith global macroeconomic forecasts for 2024 indicating both slowing GDP growth and continuing inflationary pressure, the road ahead might be a rocky one for the …

Category: Health Go Health

Life insurers ‘need to rethink their underwriting’ to cope with

WEBThe growing prevalence of non-communicable diseases (NCDs), coupled with an increase in the life expectancy of South Africans, means that life insurers need …

Category: Health Go Health

Fraudulent medical aid claims – Moonstone Information Refinery

WEBThe scheme reclaims the monies obtained fraudulently by members and healthcare providers, and which are owed to the medical scheme. The scheme then …

Category: Medical Go Health

Update on Health Insurance Products

WEBPosted on 9 May 2014 by Paul Kruger. National Treasury (“NT”) released the Second Draft Demarcation Regulations for further public comment at the end of April. These …

Category: Health Go Health

The five medical schemes that pay brokers above the

WEBFive medical schemes – including Discovery, the country’s biggest by number of beneficiaries – paid commissions to brokers above the industry average last …

Category: Medical Go Health

Ruling in dispute between Road Accident Fund and Discovery …

WEBIn October last year, the High Court in Pretoria interdicted the Road Accident Fund (RAF) from implementing an internal directive to reject all claims for medical …

Category: Medical Go Health

‘Worrying trend’ in medical schemes’ membership profile

WEBThe graph below shows the number of members at various ages during 2005, 2015 and 2021. The average pensioner ratio across the industry increased from …

Category: Health Go Health

Bestmed and Medihelp announce 2024 contribution increases

WEBBestmed Medical Scheme and Medihelp Medical Aid – the fourth and fifth largest contenders in South Africa’s “Big Five” open medical schemes – have …

Category: Medical Go Health

Discovery and RAF see latest High Court judgment differently

WEBDiscovery obtained a High Court judgment that set aside the RAF’s directive, declaring it unlawful. Judge Mandla Mbongwe judgment interdicted the Fund …

Category: Health Go Health

All open medical schemes – except one – have solvency ratios far …

WEBOnly one open medical scheme failed to meet the minimum prescribed solvency ratio of 25% last year, but it was liquidated earlier this year, the 2022 Industry …

Category: Medical Go Health