The Netcare Medical Scheme was established in 1999 to provide medical aid support
for Netcare staff members and their families. As a restricted medical
scheme, the employer plays a vital and supportive role to the scheme.
The Netcare Medical Scheme is regulated by the Medical Schemes Act 131
of 1998. The Council for Medical Schemes (CMS) is the regulatory
authority responsible for overseeing the medical schemes industry in South
Africa. The scheme ensures that it conducts its business to support the
fair and equitable access to benefits for its members.
The scheme is managed by a Board of Trustees comprising 12 trustees - 6
appointed by the employer and 6 elected from the membership by members.
The Board of Trustees is responsible for the setting of rules that govern the
benefits and contributions charged.
The administrator, PrimeMed is not responsible for the benefits offered, but is
accountable to ensure that the rules of the scheme are applied.
The benefits available to members are detailed in this guide and it is
important for members of the scheme to familiarise themselves with the content
of this guide, and its related administrative services to ensure benefits are
availed of in a hassle and problem free manner.
Should anything in the guide require further clarification members are
requested to contact the scheme on the details noted in the contact page.
The call centre has a full list of Designated Service Providers and Preferred Providers and can assist you with any individual query.