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National Health Insurance

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The National Health Insurance (NHI), for which membership will be compulsory, is a funding scheme that aims to address healthcare inequity in South Africa. The scheme will do this by creating a fund that the government will use to buy healthcare services at set fees from accredited public and private health providers. The NHI Act was signed into law on 15 May 2024 but before it will come into effect, Parliament will need to enact further legislation (including ones providing for its funding).

HomeHealth Beat shorts Why the NHI wants your medical aid premium

[WATCH] Why the NHI wants your medical aid premium

  • If the National Health Insurance (NHI) Bill is passed in its current form, your medical aid will disappear in its current form.
  • Medical schemes will only be allowed to fund “top-up” services, so health services which aren’t covered by the NHI.
  • How will the state pay for the NHI? That’s not clear, but raised taxes will be unavoidable, and payroll taxes, for both employees and employers are on the cards. Essentially, the NHI wants your medical aid premium.

  • Read the full script here

Will you be able to have comprehensive medical aid cover under the NHI? Find out from Mia and Mohale’s in our newsletter.

Yolanda Mdzeke is a multimedia reporter at Bhekisisa.

Mohale Moloi worked at Bhekisisa as a television producer and health journalist from July 2021 to March 2024.

Mia Malan is the founder and editor-in-chief of Bhekisisa. She has worked in newsrooms in Johannesburg, Nairobi and Washington, DC, winning more than 30 awards for her radio, print and television work.

Tsidiso Lechubais a video editor and consults for Bhekisisa's Health Beat.

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