[LISTEN] 'Discovery judgment is operating in terms of the law'

The Council for Medical Schemes (CMS) has handed down a ruling in the case of a glaucoma patient who took on Discovery Health Medical Scheme when it refused to pay for an implant that was recommended by a specialist.

The implant is of a medicated device called a Xen stent to lower eye pressure.

Wits University social security systems administration and management studies chair Prof Alex van den Heever explains.

It looks as though what they were trying to do was not to pay for a particular treatment that was not in their treatment protocol that they would provide coverage for and this was a medical condition that falls within what is called Prescribed Minimum Benefits.

Prof Alex van den Heever, Social security systems administration and management studies chair - Wits University

The judgment itself is operating in terms of the law, it is not creating law so it is really interpreting existing provisions in a way that is constant with the overall legal framework.

Prof Alex van den Heever, Social security systems administration and management studies chair - Wits University

Click on the link below to hear the full conversation....


Recommended

by NEWSROOM AI
Read More
Two elderly people die while queuing for grant payments - Sassa

Two elderly people die while queuing for grant payments - Sassa

An elderly woman is believed to have collapsed when she was confirmed dead outside a Pimville Post Office in Johannesburg.

Sassa grant recipients endure long queues to receive their payouts

Sassa grant recipients endure long queues to receive their payouts

Eyewitness News reporter Kevin Brandt says some recipients turned back on Monday, saying they would try again the next day.

Which farmers should benefit from emergency aid, and who will need it?

Which farmers should benefit from emergency aid, and who will need it?

Stellenbosch University professor of agricultural economics professor Johann Kirsten looks at who should benefit from this money.

[LISTEN] #Covid-19: Psychiatrist offers support service to healthcare workers

[LISTEN] #Covid-19: Psychiatrist offers support service to healthcare workers

Joanne Joseph spoke to psychiatrist Dr Claire Lownie about the pro-bono offering.

'Police shot at Vosloorus man in his veranda, unprovoked'

'Police shot at Vosloorus man in his veranda, unprovoked'

Eyewitness News reporter Theto Mahlakoane gives details of what the community members saw when the man was killed.

[LOCKDOWN] Police close shops in Hillbrow, services in Zandspruit 'depressing'

[LOCKDOWN] Police close shops in Hillbrow, services in Zandspruit 'depressing'

Eyewitness News reporters Edwin Ntshidi and Theto Mahlakoana give updates on situations in the two areas.

Popular articles
#Lockdown: How to assist family members who are addicts, especially alcoholics

#Lockdown: How to assist family members who are addicts, especially alcoholics

Substances disorder specialist Dr Duncan Laurenson shares what you can do if you are in lockdown with an addict.

Academics propose special COVID-19 grant for low-income earners and poor

Academics propose special COVID-19 grant for low-income earners and poor

Wits senior lecturer Lumkile Mondi is one of the academics and he explains exactly what it is they are calling for.

More than 20 cases of misconduct lodged with Ipid, military ombudsman so far

More than 20 cases of misconduct lodged with Ipid, military ombudsman so far

Ipid spokesperson Sontaga Seisa says their services are available and communities should report any form of misconduct.

New screening and testing initiative aimed at fighting COVID-19 underway

New screening and testing initiative aimed at fighting COVID-19 underway

Department of Health deputy director-general Dr Yogan Pillay says fieldworkers have been deployed to townships such as Alexandra.

KZN families rendered homeless despite moratorium on evictions -  Abahlali

KZN families rendered homeless despite moratorium on evictions - Abahlali

The Department of Justice has committed to looking into the matter.

Can we save the 2020 academic year? Minister Angie Motshekga believes we can

Can we save the 2020 academic year? Minister Angie Motshekga believes we can

The basic education minister says her department is working on a plan that will ensure that upcoming holidays are used for learning.

Gauteng Health Department suspends hospital visits

Gauteng Health Department suspends hospital visits

Only emergencies, surgical and medical outpatients as well as pregnant women and those collecting medication will be allowed.

Absa explains COVID-19 debt relief programme

Absa explains COVID-19 debt relief programme

Bank spokesperson Songezo Zibi says customers who have not received the SMS can call the bank directly.

OUTsurance commits R102 million to support COVID-19 efforts

OUTsurance commits R102 million to support COVID-19 efforts

OUTsurance is helping South Africa out in its greatest time of need.

 Backstreet Boys singing 'I want it that way' at different locations goes viral

Backstreet Boys singing 'I want it that way' at different locations goes viral

Khabazela shares some of the videos that went viral on Twitter and Facebook.