The Council for Medical SchemesThe Council for Medical Schemes is a statutory body established by the Medical Schemes Act (131 of 1998)
The CMS regulates the medical schemes industry in a fair and transparent manner and achieves this by protecting the public and informing them about their rights, obligations and other matters in respect of medical schemes.
Ensuring that complaints raised by members of the public are handled appropriately and speedily.
Ensuring that all entities conducting the business of medical schemes and other regulated entities comply with the Medical Schemes Act.
printFax: 012 431 0608
Lodge a complaint with the CMS
info The Act allows members to lodge complaints directly with the Council for Medical Schemes.
info Members are encouraged to first lodge their grievances directly with the Scheme first.
The PG Group Medical Scheme suggests the following action in the case of a dispute, which is dependent on the urgency as well as the gravity of the situation:
- The beneficiary should contact the Client Services Team first
- If the beneficiary would like to pursue the matter further, they should lodge a formal grievance, where the dispute shall be addressed with the Board of Trustees.
- The beneficiary can lodge a complaint with the Council for Medical Schemes, if the Scheme has not adequately satisfied the grievance.
1Compile a letter with all the relevant information and documentation.
2ORPostCouncil for Medical Schemes
Private Bag X34