The Council for Medical Schemes (CMS) recently published Circular 35 of 2020 on the amendment to the Medical Schemes Act Regulations.
The amendment includes an insertion of the Diagnosis and Treatment Pair in the list of Prescribed Minimum Benefits under the heading “Respiratory System”.
In terms of the amendment, the following are now covered under Treatment:
- Screening
- Clinically appropriate diagnostic tests
- Medication
- Medical management including hospitalisation and treatment of complications, and
- Rehabilitation of COVID-19
The amendment to the Regulations came into effect on 7 May 2020 and will remain valid for the period of the COVID-19 pandemic.
To read the Medical Schemes Act Regulations: Amendment 2020, click here.