See More

Medical schemes blackmail doctors

Apr 14 2010 15:00

Related Articles

Wise up on medical aid

Doctors' tariff hike approved

Medical fund membership swells

SA clamours for cosmetic surgery

How to avoid medical aid woes

Bonitas contests curatorship


Johannesburg - A number of medical aids are extorting money from medical practitioners who over-service patients or claim for services not rendered, the Health Professions Council of SA (HPCSA) said on Wednesday.

"These medical schemes coerce and intimidate health practitioners into signing acknowledgement of debt agreements where there are allegations of unethical conduct," senior manager for legal services, advocate Tshepo Boikanyo, told the media in Pretoria.

Boikanyo said he was not at liberty to name and shame them because the council was still in talks with these schemes, hoping they would stop this behaviour.

"We will only name them after engagement. We need to give them an opportunity to correct their wrongs."

After obtaining "untested evidence" against these practitioners, the medical scheme summons them to a meeting where they can sign the plea settlement agreement for an inflated amount of money.

Practitioners either had to do this or risk being reported to the council for unprofessional conduct or even to the police.

"The pressure placed on the practitioner at the meeting often leaves him/her no choice but to succumb to all the ridiculous requests of the medical aid scheme concerned," said Boikanyo.

The HPCSA became aware of this a year ago. So far, 20 practitioners had come forward with information.

Boikanyo said they were expecting the number to increase.

There was also an increase in the number of patients complaining to the council.

Medical schemes were given three months to change their modus operandi or they would be reported to the police, warned Boikanyo.

"Others stopped after we warned them but others are still continuing. We will not tolerate this," he said.

- Sapa



Read Fin24’s Comments Policy

24.com publishes all comments posted on articles provided that they adhere to our Comments Policy. Should you wish to report a comment for editorial review, please do so by clicking the 'Report Comment' button to the right of each comment.

Comment on this story
Add your comment
Comment 0 characters remaining

Company Snapshot

Fin24 is talking about Debt

Money Clinic

Money Clinic
Do you have a question about your finances? We'll get an expert opinion.
Click here...

Voting Booth

Government’s proposal to increase the drinking age to 21 is:

Previous results · Suggest a vote