Medical Schemes

Former South African surfski champion Oscar Chalupsky is fighting Discovery Health Medical Scheme for full reimbursement of his multiple myeloma treatment. The case, before the Council for Medical Schemes, could set a precedent for how medical aids cover expensive cancer drugs like Daratumumab. Delays in the ruling have forced Chalupsky to seek advanced care abroad at his own expense.

Rabu, 05 November 2025 Dilaporkan oleh AI

South Africa's medical schemes are struggling to keep pace with escalating healthcare costs, leading to a sharp increase in gap cover claims. Data shows mega claims exceeding R50,000 have risen by over 500% in volume since 2020. This highlights growing financial burdens on patients as providers charge far above scheme rates.