National Treasury has published the 2026 benefit increases for health insurance policies that fall under the Long-term Insurance Act (LTIA) and the Short-term Insurance Act (STIA) in terms of the Demarcation Regulations.
The escalations update the maximum policy benefit amounts that apply under the Demarcation Regulations for 2026, giving insurers, policyholders, and other stakeholders a single public reference point for the Consumer Price Index-adjusted amounts.
The 2016 regulations specify which types of insurance contracts are classified as accident and health policies under the STIA and as health policies under the LTIA and are therefore excluded from the Medical Schemes Act.
Regulation 7.2(2) of the Demarcation Regulations provides that all amounts referred to in sub-regulation (1) escalate annually, from 1 April, by the CPI published by Statistics South Africa.
Click here to download the benefit increases for LTIA contracts.
Click here to download the benefit increases for STIA contracts.
