Medical aid schemes hikes return | Citypress

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Medical aid schemes hikes return | Citypress
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Medical aid schemes hikes return

During the Covid-19 pandemic, medical schemes saw a decline in claims as members deferred elective procedures or were reluctant to seek medical treatment for health issues not related to Covid.

According Discovery Health, “the scheme’s excess solvency has been used to the benefit of members, with R6.8 billion achieved in contribution savings during 2020 and 2021 through the deferred increases. The good news is that the schemes that had deferred their increases to April or October this year have once again announced a deferment of increases to next April, providing some relief to members’ pockets.

Leo Dlamini, the principal officer at Bestmed Medical Scheme, says they have seen a significant increase in the value of claims by members in the second half of the year, specifically around hospitalisations. This was the experience of Health Squared, which was recently put under curatorship. The Council for Medical Schemes pinpointed its high proportion of elderly members as the reason for its financial woes. Its pensioner ratio was 25.9%, notably higher than last year’s open schemes industry average of 11%.

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