Medscheme says it repeatedly warned Bonitas against a ‘clean-cut’ transition and disputes the scheme’s claim that unresolved legacy issues were behind the service disruptions experienced by members after the administration switch.
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.
Circular 10 introduces interim rules to standardise audits, investigations, and clawbacks as broader reforms are developed.
Bonitas, Medscheme, and PHA trade accusations as court papers, whistleblower claims, and a CMS probe intensify the battle over medical scheme contracts.
After concluding its section 43 inquiry into Bonitas, the CMS has determined that the allegations merit a further forensic investigation.
After months of speculation, Sanlam has officially partnered with Fedhealth as its exclusive open medical scheme provider.
