Tag: BHF

  • Six Factors Driving Medical Scheme Increases in 2027

    Six Factors Driving Medical Scheme Increases in 2027

    Medical scheme increases for 2027 range from 7.35% to 8.9%, as rising healthcare utilisation, ageing membership and expensive new treatments continue to push costs above inflation. Industry representatives say schemes must raise contributions to cover growing claims expenditure. According to the Council for Medical Schemes (CMS), healthcare costs can absorb up to R96 of every R100 contributed. Why Medical Scheme…

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  • Medical Schemes Should Be Allowed to Offer Low-Cost Benefit Options

    FOR millions of South Africans, private health cover is not a question of desire but of affordability. Health insurance costs are climbing inexorably, while the medical schemes market stagnates. Under pressure, consumers are downgrading their scheme options, delaying joining, or switching to cheaper health insurance. The demand for affordable cover is clear. Yet South Africa’s regulatory framework still bars medical…

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  • NHI Funding: Court Hears Claims Of Blind NHI Approval

    The National Health Insurance (NHI) programme faced renewed legal pressure yesterday. Constitutional Court justices questioned whether the public had enough information to participate meaningfully in the law-making process. At the centre of the dispute is NHI Funding Transparency. Debate continues over whether Parliament should have provided clearer cost and funding details before passing the bill. The NHI Act aims to…

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  • NHI ConCourt Challenge: What’s At Stake For The Health System

    South Africa’s National Health Insurance Act is one of the most ambitious legislative reforms since democracy’s advent. Its goal, universal health coverage, is widely supported. But ambition alone does not make legislation constitutional, and the upcoming NHI ConCourt Challenge will test this. The Board of Healthcare Funders (BHF) will appear before the Constitutional Court from 5 to 7 May. Its…

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  • Medical Scheme Increases Amidst Regulatory Concerns

    For millions of South Africans grappling with the rising cost of living, the announcement that medical scheme contribution increases for 2026 will largely remain within single digits offers a welcome reprieve. However, industry experts warn that these restrained figures mask a precarious financial reality. 2026 Medical Scheme Contribution Increases: Top 5 Open Schemes Medical SchemeWeighted Average IncreaseEffective DateKey NotesBestmed6.8%1 January…

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  • BHF Seeks Clarity for Medical Tax Credit Changes

    The Board of Healthcare Funders (BHF) has written to Treasury director-general Duncan Pieterse, demanding “urgent clarity” on the government’s plans to phase out medical scheme tax credits. These credits serve as a financing mechanism for the National Health Insurance (NHI), a controversial initiative. In light of this, BHF seeks clarity on how these changes will impact the healthcare funding landscape.…

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  • Low-Cost Benefit Options Fight Reaches Supreme Court of Appeal

    The legal battle to introduce more affordable private healthcare for millions of South Africans has received a significant boost. This comes after the Supreme Court of Appeal (SCA) agreed to hear arguments from the Board of Healthcare Funders (BHF). The decision opens the door for the BHF to appeal a previous High Court ruling. This ruling blocked the introduction of…

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  • BHF’s NHI Legal Challenge and Its Implications for UHC

    South Africa’s NHI Act faces a major legal challenge. The Board of Healthcare Funders’ (BHF) NHI legal challenge argues that the law is unconstitutional and unworkable. This move adds uncertainty to the landmark law. It aims for universal health coverage (UHC). Critics note its lack of a clear funding model. The BHF supports UHC’s goal. However, they consider the current…

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  • Constitutional Court challenge to NHI Act by BHF

    The legal storm surrounding the National Health Insurance (NHI) Act has intensified. The Board of Healthcare Funders (BHF) launches a direct challenge in the Constitutional Court. They are targeting the very process Parliament followed in passing the controversial legislation. This is part of the broader Constitutional Court challenge to the NHI Act. This new legal assault extends beyond the content…

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  • BHF Challenges NHI Act Over Public Consultation Flaws

    The Board of Healthcare Funders (BHF) has intensified its opposition to the National Health Insurance (NHI) Act. It has launched a direct legal bid to the Constitutional Court to have the controversial legislation declared unlawful and invalid. The BHF challenges the NHI Act, contending that Parliament failed to fulfil its constitutional duty by conducting an improper public consultation process. This…

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  • BHF Takes Fight for Low-Cost Medical Schemes to SCA

    The Board of Healthcare Funders (BHF) has announced its intention to petition the Supreme Court of Appeal directly. They decided this following the High Court in Pretoria’s dismissal of its application to appeal a ruling against Low-Cost Benefit Options (LCBOs). The decision marks a significant escalation in the protracted legal battle between the BHF and the Council for Medical Schemes…

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  • Medical schemes facing ‘slow death spiral’ amid regulatory failures

    South Africa’s medical scheme industry is at a critical juncture, with escalating regulatory failures forcing schemes to design options that include gaps in cover. This trend increasingly requires members to purchase supplementary insurance, such as primary healthcare plans or gap cover. Consequently, this pushes consumers to pay for cover based more closely on their health risks. This was a key…

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