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


Regulations in terms of the Medical Schemes Act

Chapter 2 : Administrative requirements

3. Proof of membership


1) Every medical scheme must issue to each of its members, written proof of membership containing at least the following particulars
a) The name of the medical scheme;
b) the surname, first name, other initials if any, gender, and identity number of the member and his or her registered dependants;
c) the membership number;
d) the date on which the member becomes entitled to benefits from the medical scheme concerned;
e) if applicable, details of waiting periods in relation to specific conditions;
f) if applicable, the fact that the rendering of relevant health services is limited to a specific provider of service or a group or category of providers of services; and
g) if applicable, a reference to the benefit option to which the member is admitted.


2) A medical scheme must, within 30 days of the termination of membership or at any time at the request of any former member, or dependant, provide that member or dependant with a certificate, stating the period of cover, type of cover and whether or not the person qualified for late joiner status.


3) A copy of the certificate contemplated in subregulation (2) must be forwarded on request to any medical scheme to which the former member or dependant subsequently applies for membership.