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Medical Schemes Act, 1998 (Act No. 131 of 1998)

Chapter 3 : Council for Medical Schemes

Part 1 : Council

7. Functions of Council


The functions of the Council shall be to—

(a) protect the interests of the beneficiaries lit all times;
(b) control and co-ordinate the functioning of medical schemes in a manner that is complementary with the national health policy;
(c) make recommendations to the Minister on criteria for the measurement of quality and outcomes of the relevant health services provided for by medical schemes, and such other services as the Council may from time to time determine;
(d) investigate complaints and settle disputes in relation to the affairs of medical schemes as provided for in this Act;
(e) collect and disseminate information about private health care;
(f) make rules, not inconsistent with the provisions of this Act for the purpose of the performance of its functions and the exercise of its powers;
(g) advise the Minister on any matter concerning medical schemes; and
(h) perform any other functions conferred on the Council by the Minister or by this Act.