1. Home
  2. Info Centre
  3. New members
  4. How does my Scheme work

How does my Scheme work

Medical schemes in South Africa are not-for-profit organisations. The contributions are collected and pooled for the benefit of the members and used to reimburse all relevant medical services purchased by members and to pay administration costs. Any surplus made, remains in the Scheme. No profit will be distributed.

Who owns my Scheme?

A medical scheme works like a trust fund and, by law, belongs to its members.

Day-to-day Operations

Some medical schemes are self-administered, while some appoint an external medical scheme Administrator to collect contributions, pay claims to members, doctors and other registered service providers on behalf of the Scheme and to keep all data up to date.

Anglo Medical Scheme appointed Discovery Health (Pty) Ltd. as the Administrator for Standard Care Plan and Managed Care Plan. Our Value Care Plan members receive healthcare services through Prime Cure's network providers.

The Trustees are accountable to the members regarding any aspect of the management of the business of the Scheme. The Principal Officer is accountable to the Board of Trustees for the day-to-day management of the Scheme and will assist you in resolving any problems.

To contact our administrator, phone the Call Centre on:

Standard Care Plan: 0860 222 633
Managed Care Plan: 0860 222 633
Value Care Plan:       0861 665 665

Log in