Act, Regulations & Rules
Act, Regulations & Rules
Council for Medical Schemes
The Council for Medical Schemes (CMS) is a statutory body established by the Medical Schemes Act (131 of 1998) to provide regulatory supervision of private health financing through medical schemes. The CMS regulates all medical schemes in South Africa. Its role includes: protecting and educating the public with regard to medical schemes; assessing and registration of scheme rules and benefits; handling complaints and disputes between the public and medical schemes; ensuring that schemes comply with the Act and maintain a high standard of governance and management; and working with the Department of Health regarding regulatory and policy interventions.
Platinum Health Medical Scheme Rules
Each year, the Platinum Health Medical Scheme (PHMS) Rules are amended to cater for changes to benefit options for the upcoming year and in response to legislative requirements where applicable. The Scheme Rules are required to be registered by the CMS. The Scheme engages actively with the CMS on matters of policy, application and interpretation of rules, benefit design, scheme finances and resolution of disputes with members. The Scheme enjoys a professional and transparent working relationship with the CMS.
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