
Bonitas members caught in service disruption after administration switch
The medical scheme says legacy issues contributed to post-transition challenges as members report delays with hospital authorisations and medication approvals.

The medical scheme says legacy issues contributed to post-transition challenges as members report delays with hospital authorisations and medication approvals.

The scheme says continuity of care remains the priority as it moves administration to Momentum Health and managed care to PHA on 1 June.

From broker commissions to digital channels and claims processing, Momentum Health has set out what stakeholders can expect when Bonitas changes administrators.

Private Health Administrators outlines how provider contracts, managed-care operations, and service commitments will work from 1 June.

The appointment strengthens Medscheme’s foothold in the employer-based healthcare sector.

After concluding its section 43 inquiry into Bonitas, the CMS has determined that the allegations merit a further forensic investigation.

The outcome of Discovery Health’s appeal before the SCA will affect the outcome of the member’s claim for R1.4 million.

Medical inflation outpaces CPI because of unique pressures such as the rising costs of technology, chronic diseases, and private healthcare pricing.

The medical scheme says it will use its reserves to limit contribution increases, while possibly improving members’ benefits and reducing co-payments.