Cimas announced in a statement published on its official website that Corporate 24 card carrying members will continue to pay cash to receive any health services at Cimas health institutions.
Cimas said that it could not accept Corporate 24 medical aid cards up until the irregularities that occurred in 2015 were settled.
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“As members will be aware, Corporate 24 has not been on the Cimas direct payment system due to irregularities that occurred in 2015. These were confirmed by a subsequent forensic audit. Corporate 24 cannot be reinstated onto the direct payment system before these irregularities are resolved and the Society regains confidence in that entity” stated Cimas.
The statement dated 17 January 2018 is in contrast with a government directive, ordering the medical aid society to stop demanding cash from Corporate 24 card carrying members.
The herald reported that the Health and Child Care Secretary Major General Dr Gerald Gwinji had written to Cimas in a letter dated 11 January 2018 ordering the medical society to suspend, with immediate effect, the requirement for its members to pay cash upfront when seeking services from Corporate 24.
Cimas was also directed to adjudicate and pay all the genuine outstanding claims that arose from members seeking services at Corporate 24 after August 24 2015.
Dr Gerald Gwinji said Government’s decision was meant to protect members on Cimas medical aid.
“The Ministry instituted numerous attempts to resolve the issue amicably. We are aware of the several settlement attempts. Due to failure to resolve the matter amicably by both parties our office as the regulator has decided to make a determination to protect members as patients and stakeholders involved according to the law guiding the relationship between medical aid societies and service providers,” said Dr Gwinji.
The statement issued by Cimas did not however allude to the payment of genuine claims to Corporate 24 but it was crystal clear on the fact that Corporate 24 members would be required to pay cash upfront when seeking services from Cimas.
The Cimas and Corporate impasse has been on going since August, 2015.
More to follow …