Rise in complaints about medical schemes clawing back losses allegedly linked to fraud and waste
Schemes and healthcare professionals are at odds over whether these recoveries are justified, says the Council for Medical Schemes.
Muvhango Lukhaimane will also consult with trustees on guidelines for naming and shaming problematic funds, administrators, and employers.
Schemes and healthcare professionals are at odds over whether these recoveries are justified, says the Council for Medical Schemes.
The FIC’s latest annual report shows that out of 558 inspections conducted during the year, 269 specifically targeted the non-submission of risk and compliance returns.
The OBS’s 2023 annual report unveils chargeback disputes, hidden fees, and administrative failures.
The Ombudsman for Banking Services was kept busy with complaints about current accounts, loans, savings accounts, credit cards, and home loans.
The cases dealt with by the banking ombudsman last year included a home auctioned for far below its value and fraud linked to a stolen phone.
Medihelp submitted a CMS-approved three-year plan, requiring gradual contribution increases to restore its reserves to the statutory 25% level.
‘Lack of maintenance or wear and tear’ gave rise to most of the disputes in several categories of insurance.
The important statistic is the proportion of personal lines complaints relative to an insurer’s share of the total personal lines claims.