
Will cutting minimum medical benefits really make cover cheaper?
The Board of Healthcare Funders wants a leaner PMB package, but the CMS points to provider prices, treatment costs, and other pressures on scheme expenditure.

The Board of Healthcare Funders wants a leaner PMB package, but the CMS points to provider prices, treatment costs, and other pressures on scheme expenditure.

Global medical cost growth is easing, but South Africa’s rate remains high – putting medical schemes under pressure to balance rising healthcare costs with affordability in 2027.

The CMS argues that a 7.5% increase would have weakened GEMS’s financial sustainability and shifted costs to members in future.

Two new CMS studies highlight the growing strain of chronic diseases and soaring out-of-pocket healthcare costs.

Contribution increases in 2025 are exceeding CPI, with some medical schemes aiming to rebuild reserves and ensure long-term sustainability.