Council for Medical Schemes
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Benefits Management
Paresh Prema

The Benefits Management Unit serves beneficiaries of medical schemes and the public in general by reviewing and approving changes to contributions paid by members and benefits offered by schemes.

We analyse and approve all other rules to ensure consistency with the Medical Schemes Act.

This ensures that the beneficiaries have access to affordable and appropriate quality health care.

By doing this we help the Council for Medical Schemes ensure that the rules of medical schemes are fair to beneficiaries and are consistent with the Act.

Our Benefits Management Unit is headed by Mr. Paresh Prema.

The units core focus is to assist the Council for Medical Schemes in ensuring that the rules of medical schemes are fair and are consistent with the Act.

The unit serves the beneficiaries of medical schemes and the public by:

  • Reviewing and approving changes to contributions paid by members relative to benefits being offered by medical schemes;
  • Reviewing and of approval of benefit options and benefits offered by medical schemes;
  • Ensuring compliance by all schemes in their rules with the Act, regulations and monitoring of marketing material;
  • Reviewing and managing the registration of new schemes; and
  • Reviewing and managing the amalgamation and liquidation process in terms of the Medical schemes Act.

This ensures the protection and fair treatment of beneficiaries and that the beneficiaries have access to affordable and appropriate quality health care.


 

Created: 2010/09/17 10:37:05 AM - Last Modified: 2015/01/27 02:04:44 PM
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