Medical Schemes Act, 1998

 

To consolidate the laws relating to registered medical schemes; to provide for the establishment of the Council for Medical Schemes as a juristic person; to provide for the appointment of the Registrar of Medical Schemes; to make provision for the registration and control of certain activities of medical schemes; to protect the interests of members of medical schemes; to provide for measures for the co-ordination of medical schemes; and to provide for incidental matters.

 

 

Latest Developments:

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated with Adjustment to Fees Payable to Brokers, as per Notice No. 2288 of GG50041 dated 26 January 2024.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated with Amendments to Regulations under Notice R.1262 of 1999, as per Notice No. R.3563 of GG48838 dated 23 June 2023.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated with the Adjustment to Fees payable to Brokers, as per Notice No. 1629 of GG48104 dated 24 February 2023.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated with the Adjustment to Fees payable to Brokers, as per Notice No. 881 of GG46032 dated 11 March 2022.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated with the Replacement of Notice 74 of 2021 and new Registered Medical Schemes as at February 2022, as per Notice No. 880 of GG46032 dated 11 March 2022.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated by the publication of a declaration of certain practices regarding co-payments in terms of Sec 61 of the Act, as per Notice No. 214 of GG 44469 dated 23 April 2021.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated by the publication of Adjustment to fees payable to brokers, as per Notice No. 206 of GG 44257 dated 12 March 2021.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated by the publication of the Registration of Medical Schemes 2021, as per Notice No. 74 of GG 44191 dated 26 February 2021.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated by the publication of an Amendment to Regulations R1262 of 20 October 1999 as per Notice No. 45 of GG 44103 dated 29 January 2021.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been amended in terms of new regulations to the Act as per Notice No. 515 of GG 43295 dated 7 May 2020.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated by Adjustments made to Fees Payable to Brokers, 2020 as per Notice No. 24 of GG 42980 dated 31 January 2020.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated by Notices, Adjustment to Fees Payable to Brokers, Notice No. 30 of GG42185 dated 25 January 2019.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been updated by Notices, Adjustment to Fees Payable to Brokers, Notice No. 1253 of GG41244 dated 10 November 2017.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998), has been amended in terms of new regulations to the Act as per Notice No. 969 of GG 40243 dated 2 september2016.

 

The Medical Schemes Act, 1998 (Act No. 131 of 1998) has been amended by General Intelligence Laws Amendment Act, 2013 (Act No. 11 of 2013), Government Gazette 36695, Notice No. 528, dated 23 July 2013.

 

The Act has been updated by an amendment to registered medical schemes, Notice No. 75 in Government Gazette No. 34016 dated 11 February 2011.

 

The Act has been updated with Notice No. 107 of 2009 published in Government Gazette No. 31836 dated 5 February 2009 – being an updated list of registered medical schemes.

 

The Act has been amended by:-

Notice No. 643 of 2004 in Government Gazette No. 26213 dated 8 April 2004;

Amendment to Regulations, being Notice No. R. 595 printed in Government Gazette No. 26345 dated 21 May 2004;

Amendment to Regulations, being Notice No. R. 1410 printed in Government Gazette No. 27055 dated 3 December 2004;

Fees payable to brokers – in Notice No. R. 640 printed in Government Gazette No. 30075 dated 20 July 2007;

"List of Medical Schemes registered" replacing previous lists, being Board Notice No. 14 of 2008 published in Government Gazette No. 30789 dated 18 February 2008.

 

The act has been amended by the Schedule of the Prevention and Combating of Corrupt Activities Act (GG26311) 28 April 2004

 

An amendment to the General Regulations (17A and Annexure A) has been applied as gazetted in GG 25537 dated 6 October 2003.

The Therapeutic Algorithms for Chronic Conditions (GG 25537, 6 October 2003) is available at http://www.gov.za.

Amended by the Intelligence Services Act, 2002.

The Medical Schemes Amendment Act, 2002 (62 of 2002) has been applied to the Act as published in GG 24284 dated 22 January, 2003.

The General Regulations have been amended as published in GNR 1360 dated 4 November 2002.

The Medical Schemes Amendment Act, 2001 (55 of 2001) as published in GG 22951 dated 14 December, 2001 has been applied to the Act.

 

Notice R.943 regarding amendments to the regulations, has been added to the Act as published in Gazette 21569 and dated 22 September 2000.

The Regulations to the Act have been amended by Notice No. R.650, as published in Gazette 21313 and dated 30 June 2000.

The Regulations have been amended by Notice No. R570, as published in Government Gazette No. 21256 dated 5 June 2000.

The list of Registered Medical Schemes has been updated as Gazetted by the Registrar of Medical Schemes, in General Notice 302 of 2000, Government Gazette 20827 and dated 21 January 2000.

The Regulations in terms of the Medical Schemes Act, 1988, as Gazetted in Government Gazette 20556 of 20 October, 1999, have been added to the Act.

The Regulations come into operation on 1 November, 1999 except for Chapters 3, 4 and 8 and Annexures A and B which come into operation on 1 January, 2000.

You will notice some numbering problems in Annexure B, these are, unfortunately, as they appear in the Gazette.