This document provides the benefits package of the National Health Insurance Scheme as offered to its beneficiaries through private health providers.
This Act provides for sound financing for the national health system; provides for universal access to quality insured health care services; establishes the National Health Insurance Management Authority and provides for its functions and powers; establishes the National Health Insurance Scheme and provides for its systems, procedures and operation; establishes the National Health Insurance Fund and provides for contributions to and payments from the Fund; provides for accreditation criteria and conditions in respect of insured health care services; provides for complaints and appeals processes; provides for the progressive establishment of provincial and district health offices of the Authority; and provides for matters connected with, or incidental to the foregoing.
This Act extends membership of the medical aid scheme established for the public service under the Public Service Act, 1980, to members and former members of the National Assembly, judges and former judges of the Supreme Court and High Court, certain other office-bearers and other persons and to their surviving spouses; repeals section 1 of the Medical Aid Scheme for the Government Service Extension Act, 1982; and provides for matters connected therewith.