The Council for Medical Schemes is proposing consolidation of all medical schemes for public servants into the Government Employees Medical Scheme (GEMS) in line with government policy on National Health Insurance. The proposal is contained in a discussion document released for public comment on Wednesday and is likely to run into opposition from industry players and public servants alike. The state contributes significantly to public servants’ medical scheme contributions. Unionised workers are likely to resist moves they see as a threat to their current benefits. State sector schemes make up about 30.3% of the industry and include Polmed for the police and Parmed for MPs and judges. The council identified 10 schemes that could be amalgamated with GEMS, including those of state-affiliated entities such as the SABC and Rand Water. It said that consolidating public sector medical schemes with GEMS offered potential savings; a larger scheme would have more negotiating power with healt...

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