The Medical Schemes Act makes provision for a complaints procedure for people who with complaints against a medical scheme.
The Council for Medical Schemes is the statutory body that provides and oversees the regulations and the complaints process for members of a medical scheme.
It is recommended that medical scheme members use their health broker’s when they have a complaint or claims issue with their medical scheme. This would provide the member with the necessary support and access to specialist medical scheme knowledge when liaising with the scheme as well as the CMS. To appoint a health broker is at no additional cost and is a service available to all members of an open medical scheme. Visit www.medxpert.co.za
for more information and to activate your medical scheme advice and support services.