Medical aids: who's scamming whom?


Medical aids: who's scamming whom?

Doctors and pharmacists say evidence is being fabricated to strong-arm money out of them for purported fraud.

For years medical aid providers have claimed that medical practitioners were robbing them blind through various intricate medical aid fraud scams – fraud that is often blamed for the above-inflation increases that members need to swallow on a yearly basis.

But now a number of doctors are claiming that they are the ones being cheated, extorted and left bankrupt by the very same medical insurance industry, as it attempts to claw back losses that amount to a financial black hole – the industry’s annual losses to fraud are estimated at anything up to R20 billion, depending on the source.

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