Fraud May Cost You Your Membership of the Medical Scheme
The Board of Trustees would like to point out to members that a number of cases have been detected where members and their dependants have committed fraud against the Scheme. These members have been reported to the SAPS and their membership of the Scheme has been cancelled.
Some members even lost their jobs as well as employers terminated their employment due to them defrauding the medical scheme. The Scheme views fraud in a very serious light and would like to encourage members who have some concerns regarding fraud whether committed by a member or a supplier of services to contact the Manager of the Scheme, or the Board of Trustees, or the Disputes Committee or the Audit Committee.
Reporting Suspected Fraud
Reporting suspected fraud committed by a managed care organisation, doctor, healthcare practitioner, medical scheme or employee to:
- WCMAS tip-off lines: share call 0860 104 302.
- WCMAS’s Principal Officer (phone number obtainable from WCMAS switchboard) or any Board of Trustee member.
- CMS’s Tip off Anonymous Hotline using its Toll-Free Number: 0800 867 423 / Free fax: 0800 00 77 88 e-mail address: cms@tip-offs.com