Legal status of scheme payment arrangements

The payment arrangements between practitioners and medical schemes are legally binding if they are lawful. Medical schemes are duty bound in terms of common law and section 66 of the Medical Schemes Act to report unprofessional conduct to the HPCSA.

Guidance provided here is not exhaustive and practitioners are advised to approach Council for further advice by directing an e-mail to Professionalpractice@hpcsa.co.za  for guidance on ethico-legal matters. 

Council commits to a turnaround time of 10 working days to respond to any request for advice and/or guidance through the e-mail provided above.