Medical Schemes Act, 1998 (Act No. 131 of 1998)RegulationsRegulations in terms of the Medical Schemes ActChapter 2 : Administrative requirements3. Proof of membership |
1) | Every medical scheme must issue to each of its members, written proof of membership containing at least the following particulars |
a) | The name of the medical scheme; |
b) | the surname, first name, other initials if any, gender, and identity number of the member and his or her registered dependants; |
c) | the membership number; |
d) | the date on which the member becomes entitled to benefits from the medical scheme concerned; |
e) | if applicable, details of waiting periods in relation to specific conditions; |
f) | if applicable, the fact that the rendering of relevant health services is limited to a specific provider of service or a group or category of providers of services; and |
g) | if applicable, a reference to the benefit option to which the member is admitted. |
2) | A medical scheme must, within 30 days of the termination of membership or at any time at the request of any former member, or dependant, provide that member or dependant with a certificate, stating the period of cover, type of cover and whether or not the person qualified for late joiner status. |
3) | A copy of the certificate contemplated in subregulation (2) must be forwarded on request to any medical scheme to which the former member or dependant subsequently applies for membership. |