As of 2021, a total of approximately 8.94 million South Africans were registered as beneficiaries of a medical scheme across all provinces. The Gauteng province had the largest number of beneficiaries, with close to 3.44 million registered. The province of the Western Cape followed with around 1.39 million recipients.
Distribution of medical scheme beneficiaries in South Africa in 2021, by province
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Distribution of medical scheme beneficiaries in South Africa in 2021, by province
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South African medical schemes are non-profit trusts that their members own. The contributions made by the members are put together and used to pay pertinent medical costs where necessary while keeping a legislated surplus (at least a 25 percent solvency ratio) to prevent the scheme from collapsing. Some medical plans have an option for saving, which creates a collective savings from a member’s monthly payments for personal use.
Medical aid schemes are required by law to cover a set list of chronic illnesses, namely the Prescribed Minimum Benefits (PMB).This safeguards all medical scheme members so that they have access to the minimum amount of health services, regardless of which benefit option they have chosen. Furthermore, medical schemes are allowed to have different product plans, which often target specific demographics. For example: specialized benefits, annual limits, day-to-day coverage, family cover, and networked doctors and hospitals all differ across the various plans, both internally and from company to company.
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Council for Medical Schemes. (July 21, 2023). Distribution of medical scheme beneficiaries in South Africa in 2021, by province [Graph]. In Statista. Retrieved February 17, 2025, from https://www.statista.com/statistics/1403233/distribution-of-medical-scheme-beneficiaries-in-south-africa-by-province/
Council for Medical Schemes. "Distribution of medical scheme beneficiaries in South Africa in 2021, by province." Chart. July 21, 2023. Statista. Accessed February 17, 2025. https://www.statista.com/statistics/1403233/distribution-of-medical-scheme-beneficiaries-in-south-africa-by-province/
Council for Medical Schemes. (2023). Distribution of medical scheme beneficiaries in South Africa in 2021, by province. Statista. Statista Inc.. Accessed: February 17, 2025. https://www.statista.com/statistics/1403233/distribution-of-medical-scheme-beneficiaries-in-south-africa-by-province/
Council for Medical Schemes. "Distribution of Medical Scheme Beneficiaries in South Africa in 2021, by Province." Statista, Statista Inc., 21 Jul 2023, https://www.statista.com/statistics/1403233/distribution-of-medical-scheme-beneficiaries-in-south-africa-by-province/
Council for Medical Schemes, Distribution of medical scheme beneficiaries in South Africa in 2021, by province Statista, https://www.statista.com/statistics/1403233/distribution-of-medical-scheme-beneficiaries-in-south-africa-by-province/ (last visited February 17, 2025)
Distribution of medical scheme beneficiaries in South Africa in 2021, by province [Graph], Council for Medical Schemes, July 21, 2023. [Online]. Available: https://www.statista.com/statistics/1403233/distribution-of-medical-scheme-beneficiaries-in-south-africa-by-province/
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