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Analysing the structure and nature of medical scheme benefit design in South Africa

Includes bibliographical references

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Bibliographic Details
Main Author: Kaplan, Josh Tana
Other Authors: Ramjee, Shivani
Format: Thesis
Language:English
Published: Division of Actuarial Science 2016
Subjects:
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access_status_str Open Access
author Kaplan, Josh Tana
author2 Ramjee, Shivani
author_browse Kaplan, Josh Tana
Ramjee, Shivani
author_facet Ramjee, Shivani
Kaplan, Josh Tana
author_sort Kaplan, Josh Tana
collection Thesis
description Includes bibliographical references
format Thesis
id oai:open.uct.ac.za:11427/16692
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:32:37.404Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Division of Actuarial Science
publisherStr Division of Actuarial Science
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/16692 Analysing the structure and nature of medical scheme benefit design in South Africa Kaplan, Josh Tana Ramjee, Shivani Actuarial Science South Africa healthcare medical scheme benefit options benefit design affordability Includes bibliographical references This dissertation intends to shed light on open-membership medical scheme benefit design in South Africa. This will be done by analysing the benefit design of 118 benefit options, so as to provide an overview of the structure and nature of the benefit offerings available in the market in 2014. In addition, affordability of these benefit options was analysed in order to identify whether or not there exist connections between the benefits on offer and the price of cover. This paper will argue that at present, the large number of benefit options available in the market, the lack of standardisation between benefit options, together with the mosaic of confusing terminology employed in scheme brochures, creates a highly complex environment that hampers consumer decision making. However, this implicit complexity was found to be necessary owing to the incomplete regulatory environment surrounding medical schemes. The findings of this investigation show that benefit design requires significant attention in order to facilitate equitable access to cover in South Africa. 2016-02-02T14:41:02Z 2016-02-02T14:41:02Z 2015 Master Thesis Masters MPhil http://hdl.handle.net/11427/16692 eng application/pdf Division of Actuarial Science Faculty of Commerce University of Cape Town
spellingShingle Actuarial Science
South Africa
healthcare
medical scheme
benefit options
benefit design
affordability
Kaplan, Josh Tana
Analysing the structure and nature of medical scheme benefit design in South Africa
thesis_degree_str Master's
title Analysing the structure and nature of medical scheme benefit design in South Africa
title_full Analysing the structure and nature of medical scheme benefit design in South Africa
title_fullStr Analysing the structure and nature of medical scheme benefit design in South Africa
title_full_unstemmed Analysing the structure and nature of medical scheme benefit design in South Africa
title_short Analysing the structure and nature of medical scheme benefit design in South Africa
title_sort analysing the structure and nature of medical scheme benefit design in south africa
topic Actuarial Science
South Africa
healthcare
medical scheme
benefit options
benefit design
affordability
url http://hdl.handle.net/11427/16692
work_keys_str_mv AT kaplanjoshtana analysingthestructureandnatureofmedicalschemebenefitdesigninsouthafrica