Tag archives: Health insurance

Damages for denying gender-confirming medical care (US)

By Patrick Bracher (ZA) on November 25, 2018 Posted in General

A jury in Wisconsin awarded damages to two transgender women who were denied gender-confirming medical care by a state health plan. The state’s health insurance excluded procedures, services and supplies ‘related to surgery and sex hormones associated with gender reassignment’. The court found that the exclusion is unconstitutional because it ‘entrenches the belief that transgender … Continue reading

Laws amendment to accommodate demarcation regulations

By Patrick Bracher (ZA) on April 24, 2017 Posted in Insurance

The pending changes to the Medical Schemes Act and the Long-term and Short-term Insurance Acts to accommodate the demarcation regulations were made on 1 April 2017 including the new definition of ‘business of a medical scheme’. The definition of ‘business of a medical scheme’ in the Medical Schemes Act 1998 makes it clear that if you … Continue reading

Australian report on health insurers is worth looking at

By Patrick Bracher (ZA) on November 6, 2015 Posted in Insurance

A report to the Australian Senate on anti-competitive and other practices by health insurers and providers of private health insurance is worth looking at by anyone engaged in health insurance in South Africa. You will find some interesting information regarding the type of coverage provided in Australia and the criticisms of health insurance practices in … Continue reading

Draft Demarcation Regulations 2014

By Patrick Bracher (ZA) on June 29, 2014 Posted in Insurance

The second Draft Demarcation Regulations were published by National Treasury for comment. The draft regulations deal with the demarcation between insurance business and the business of a medical scheme. Here is our analysis of the draft regulations. Interested parties must comment by 7 July 2014. Comments must be sent to Ms Reshma Sheoraj at LTdemarcation@treasury.gov.za … Continue reading