Gems u-turn on Dr Bvuma's cancer treatment drug payout

Dr Sipho Bvuma's fight to get the Government Employees Medical Scheme (Gems) to pay for his cancer treatment has ended in victory after the company buckled under pressure and agreed to cover his medical bills.

This comes after Gems has refused to pay for Dr Bvuma's expensive brain cancer treatment, which he believed would prolong his life and move him into remission. stage.

Speaking on the Xolani Gwala Show, Dr Stan Moloabi - Gems COO said it has a responsibility as the medical scheme towards all the Gems members.

The decision not to fund Dr Bvuma's medication was taken for review to the oncology panel, he adds. On the advice they gave, they then instituted an urgent ex gratia process - which is the only process that allows the scheme to fund outside the rules.

Read More: Bara doctor takes medical aid to court for denying him 'pricey' cancer treatment

We have always been sensitive to the matter that our member Dr Sipho Bvuma is faced with a very serious life-threatening matter. We have considered all the options we had, and they had to be reviewed by a panel of experts, and in this instance, they advised that we fund Dr Bvuma's medical bills.

Dr Stan Moloabi - GEMS COO

The company had previously argued in court papers that paying for the treatment which could cost R583,000 would not be viable in Bvuma's case, as the drug in question, Keytruda, is not registered in SA to treat his condition, and in addition, there was no scientific evidence that it can save his life.

Click below to listen to the full interview:


Recommended

by NEWSROOM AI
Read More
'Boris Johnson has pledged to get Britain out of  EU by the end of January'

'Boris Johnson has pledged to get Britain out of EU by the end of January'

EWN UK correspondent Gavin Grey gives and update on the Conservative Party's election win.

'Most Home Affairs systems back online'

'Most Home Affairs systems back online'

Department spokesperson Siya Qoza says from this morning it was only a handful of centres that were still experiencing glitches.

Work and finances major causes of stress among professionals - Profmed

Work and finances major causes of stress among professionals - Profmed

Clement Manyathela spoke to Profmed CEO Craig Comrie about the findings in this year's Stress Index.

I don't think, realistically, anyone can contest Malema - Ralph Mathekga

I don't think, realistically, anyone can contest Malema - Ralph Mathekga

The political analyst gives his take on the party's progression and current state of leadership as its elective conference starts.

'Court orders City of Cape Town to stop harassing and abusing homeless people'

'Court orders City of Cape Town to stop harassing and abusing homeless people'

The city has also been told not to confiscating property belonging to those living on the street.

Mkhwebane heads to Supreme Court of Appeal over Estina report

Mkhwebane heads to Supreme Court of Appeal over Estina report

North Gauteng High Court has dismissed Public Protector's application for leave to appeal the Estina Dairy Farm report ruling.

Popular articles
[WATCH] Is goat fighting with car door covered by insurance asks Twitter?

[WATCH] Is goat fighting with car door covered by insurance asks Twitter?

Khabazela shares tweets and Facebook posts that have gone viral.

[VIDEO] Family saved from being hit by speeding SUV goes viral

[VIDEO] Family saved from being hit by speeding SUV goes viral

Khabazela shares tweets and Facebook posts that have gone viral.

[WATCH] 'I didn't poop, I peed,' kid excited that he went potty successfully

[WATCH] 'I didn't poop, I peed,' kid excited that he went potty successfully

Khabazela shares tweets and Facebook posts that have gone viral.

[WATCH] Pilot filming aftermath of his plane crashing into ocean goes viral

[WATCH] Pilot filming aftermath of his plane crashing into ocean goes viral

Khabazela shares tweets and Facebook posts that have gone viral.

What causes turf wars between taxi associations? An analyst explains

What causes turf wars between taxi associations? An analyst explains

Public transport analyst Paul Browning says if registration of routes were properly enforced, there would be no wars.