Industry Overview
There are 71 medical schemes in South Africa with approximately 8.9 million members. 16 of these medical schemes are open to the public and 55 are restricted medical schemes, mostly offered by big companies exclusively for the benefit of their employees (Council for Medical Schemes Industry Report 2023).
Anglo Medical Scheme is a restricted Scheme, exclusively for employees of participating employer groups.
How is the industry regulated?
The Department of Health
The Department of Health is the executive department of the South African government that is assigned to health matters. It is the overall governing body for the healthcare industry in South Africa. Dr Joe Phaahla is the incumbent Minister of Health.
Council for Medical Schemes
The Council for Medical Schemes is a statutory body established by government to supervise private health financing by medical schemes and to interpret the laws drawn up by the Department of Health.