A healthcare provider or group of providers that the Scheme has chosen to provide certain medical care for Prescribed Minimum Benefits.
If my membership has been terminated due to non-disclosure may I re-apply to the same medical scheme and provide the correct details?
Yes, in terms of the open enrolment principle a member may join any open medical scheme of his/her choice.
Application forms must be completed by providing all the information requested by the scheme honestly and with the necessary details required. If you are unsure ask your broker or the Read more >>
Yes. On the grounds of failure to pay membership fees timeously or other debts owing to the scheme, submission of fraudulent claims, committing other fraudulent acts, or the non -disclosure Read more >>
No. The Act prohibits the payment of dividends, bonuses, rebates or re-funding of any portion of contributions. Benefits may also not be carried over to the next financial year. Savings Read more >>
Can my scheme terminate my membership of the scheme in the case of Retrenchment, Redundancy or Retirement?
All three categories mentioned above concerns employment. If you are on an open medical scheme your membership may not be terminated based on any of the scenarios provided that your Read more >>
Is my scheme entitled to suspend or cancel my membership when my employer fails to pay membership fees?
Yes, it remains a member’s responsibility to ensure that his/her employer timeously pays the correct contributions to the Scheme, as per Scheme Rules.
Yes. A member remains liable for full contributions for the whole notice period regardless of whether they serve the termination notice or not. SAMWUMED may institute legal proceedings to recover Read more >>