Home > Medical schemes > General info Updated 13 November 2013 20 quick facts on medical schemes in SA Many medical scheme members are baffled by scheme rules and regulations. Here are 20 quick facts on medical schemes in South Africa which might answer some of your questions. 2 (File) ~ Shutterstock Related Cut medical scheme costs What your medical scheme will cost you in 2014 Is medical insurance enough? Like us on Facebook » Subscribe to the newsletter » Ask CyberDoc » Quiz How long will you live? » Medical history Bacteria gallery Many medical scheme members are baffled by scheme rules and regulations. And by constant changes to benefits and contributions.Here are 20 quick facts on medical schemes in South Africa which might answer some of your questions:A person may not legally belong to more than one medical scheme.You do not need to apply for medical scheme membership through a broker: you can apply directly to the scheme.A minor may become a medical scheme member with the assistance of a parent or guardian, and provided the contributions are paid.If you have terminated your membership of a medical scheme, you will be covered until midnight of the last day of the month in which you paid your final membership contribution.Employers do not have to subsidise an employee’s contributions to a medical scheme.Medical schemes are not allowed to pay out no-claim bonuses or rebates.If a medical scheme principal member dies, his/her dependants may continue to be members provided the contributions are paid.An employer may insist that a permanent employee belongs to a medical scheme as a condition of employment.Medical schemes may not refuse membership to an applicant, but they may charge late-joiner penalties or waiting periods before claims can be made for specific conditions.Claims must be submitted within four months of the treatment date, otherwise they will not be paid out.If you have money in your savings account, you may not withdraw it in cash. It can only be paid out when you terminate your membership.Claims should be paid out within 30 days of receipt of the claim.Medical schemes are non-profit organisations.Medical schemes have to hold surplus or accumulated funds equal to 25% of the total annual contributions by members.Medical insurance products are not governed by the rules of the Medical Schemes Act.A scheme may terminate someone’s membership if contributions are not paid, or if the member has withheld crucial medical information on their application forms, or if they have submitted fraudulent claims.Schemes may expect members to use Designated Service Providers (DSPs). These could include doctors, specialists and hospitals.At least half of the Board of Trustees of a medical scheme must be elected or appointed from the ranks of members.(Source: the Council for Medical Schemes) Compiled by Susan Erasmus NEXT ON HEALTH24X The value of digital technology in addressing quality care 2017-05-17 04:48 More: Medical schemesGeneral info advertisement Read Health24’s Comments Policy Comment on this story 2 comments Comments have been closed for this article. Logout Comment 0 characters remaining Share on Facebook Loading comments... Other news Medical SURVEY: Which of these bizarre allergies do you suffer from? Mental health Compulsive video-game playing now classed as mental health disorder News Ever noticed how animated movie baddies always seem to have skin issues? Lifestyle This life coach used rugby to beat depression Fitness How to get out of bed for your morning workout Lifestyle Do you know as much about your period as you think you do? From our sponsors Tell us of your unusual allergy and stand a chance to win R2 000! WIN a R2000 Skin Renewal online store voucher! Stand a chance to win an Alpecin product hamper worth R1 500! FLU SURVEY: Stand a chance of winning R2 000 cash! Live healthier The juicing trend » A cup of beetroot juice daily can reduce blood pressure Pomegranate juice protects brain The truth about juicing The juicing trend has been around for decades, but how good is it for you really? Your menstrual cycle » SEE: 14 facts about menstruation you might not know Your diet and PMS 5 period apps that make tracking your menstrual cycle a breeze Know exactly when Aunt Flow is on her way.