
Has the NHI debate reached a turning point?
Discovery believes the legal challenges have shifted government’s thinking on NHI and created an opportunity to pursue a more workable path to universal health coverage.

Discovery believes the legal challenges have shifted government’s thinking on NHI and created an opportunity to pursue a more workable path to universal health coverage.

Executives acknowledged the disruption caused by the June administrator switch while insisting the scheme’s long-term strategy remains on track.

Old Mutual says advisers should focus more on the financial impact of surviving illness, as recovery increasingly brings prolonged income and healthcare pressures.

The regulator has clarified the scope of its oversight of Bonitas, confirming that two separate regulatory processes are under way.

The regulator says it is monitoring the situation and sees signs of improvement, but some members continue to report difficulties accessing healthcare and resolving claims.

A review of five years of Medihelp’s annual reports traces the events behind the scheme’s fall below and its rise back above the statutory minimum.

Membership, claims, reserves, and solvency all point to a strong year, but they also reveal the long-term pressures facing the scheme.

Discovery Health’s analysis of 2.7 million medical scheme members shows how earlier intervention, better treatment, and healthier lifestyles are reshaping life expectancy.

The division recorded more formal investigations in 2025, but improved turnaround times and secured almost R300 million for complainants.

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.

Stronger UK results, continued growth in China, and the rollout of a new AI-enabled Vitality platform lifted Discovery’s global operating profit.

The CMS frames the judgment as necessary to protect members, emphasising the scheme is compliant, operational and under close oversight.

The scheme and the regulator say a narrowly focused investigation will not halt the transition – but members should brace for some operational changes.

This edition of Cover to Cover looks at how members can plan, track, and optimise their medical savings to reduce out-of-pocket costs and get the most from their benefits.

Discovery Health has abandoned recovery action against more than 16 500 members, agreeing to absorb up to R170 million in overpaid ATB claims after sustained pressure from MediCheck,

This edition of Cover to Cover explains medical scheme dependant rules, required documentation, and how advisers can help clients keep their families covered.