The Medical Schemes Act has made a provision for schemes to put some money aside as reserves to cushion the blow: Dr Katlego Mothudi, MD of the BHF.
Medical schemes are now obligated to pay up for Covid-19-related tests and treatments for their members. And, on top of that, the Council for Medical Schemes proposed that medical-aid schemes be prepared to offer premium-instalment holidays where the need arises. Well, to discuss the cost implications and more, I’m joined on the line by Dr Katlego Mothudi, the MD of the Board of Healthcare Funders.
The surprise is those that are linked to medical conditions. So you’ll find with people with asthma and diabetes, hypertension, there has been a decline. And a worrying one for others is where the reduction of about 50% of mental-health admissions. And that is a worrying thing. you might find they won’t do the tests … that find data their stability. And those are the concerning groups, because they might maybe, when this thing blows over, find that other people’s conditions have deteriorated, and they might develop other complications.
So the interventions have also been varied. What we did from the Board of Healthcare Funders’ side is we approached the Regulator, The Council for Medical Schemes, quite early on in fact. There will be a number of interventions that schemes would look at to seek relief for their beneficiaries, and they should be open too, for the exemptions that might come up.
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