Medical Insurance - The Hallucinationof Cover

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  • 7/23/2019 Medical Insurance - The Hallucinationof Cover

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    have to pay R6000 per month. Who other than the wealthy can

    afford this excessive and exploitive sum?

    (12) The term medical aid is a misnomer and highly

    deceptive. Medical insurance does not provide any aid. The

    vast majority of members lose the greater portion of their

    premiums. A very few who suffer chronic diseases generallybenefit.

    (13) Sheikh/Molvi/Mr. Karaan and Mr.Shuaib Omar seeing the

    term medical aid have attempted to bamboozle the ignorantpublic into believing that medical insurance is a scheme with

    altruistic ideals. People are tricked into the belief that medical

    insurance provides medical aid. This wild claim is furthest from

    the truth. Either the two gentlemen are shockingly ignorant ofmedical insurance due to their extremely defective research or

    they have endeavoured to deliberately pull wool over the eyes

    of the people who have no understanding of the exploitivemeasures and haraam methods employed by medical insuranceschemes.

    (14) Approximately 80% of the population of the country is

    without medical insurance cover.

    (15) Medical insurance is Haraam. The elements of

    prohibition in terms of the Shariah are Qimaar (gambling),Riba(interest) and a plethora offaasid (corrupt and invalid)

    stipulations which render the medical insurance contract

    totally null and haraam.

    BY:

    Mujlisul Ulama of South Africa

    PO Box 3393, Port Elizabeth, 6056, South Africa

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    MEDICAL INSURANCE IN A NUTSHELL

    (1) Medical insurance is a contract between two parties,

    namely, the medical insurance entity and the buyer of medical

    insurance, who pays monthly premiums.

    (2) The monthly premium for an adult is approximatelyR2,000.

    (3) 25% of the premium, i.e. R500 is deposited in a specialsavings account called MSA (Medical Savings Account) which

    is opened in the name of the premium-payer. Although the

    premium-payer cannot draw cash from his savings account, he

    nevertheless is the owner of the credit balance which there maybe in his MSA.

    (4) 75% of the premium, i.e. R1500 is acquired by the medical

    insurance scheme for its expenses which consist of * SolvencyBuild * Claims of patients *Administration costs * Broker

    fees *Bad debts * Etcetera (The latitude of this etcetera is

    extremely wide. The few at the helm only know the actual

    meaning of this etcetera).

    (5) The medical scheme by virtue of the insurance contract is

    obliged to provide a minimum of medical benefits (PMB

    Prescribed Minimum Benefit). After it has provided the PMB,if more medical benefit is required by the patient, the medical

    scheme will pay for it from the members savings account(MSA). If the savings too are exhausted, medical benefit

    terminates. The medical insurance will then not provide furthermedical benefit until the next year or until the member pays a

    substantial cash amount of a few thousand rands into his MSA.

    In most cases, the MSA savings are used up during the course

    of the year.

    (6) If a member remains healthy, then he loses everything.

    While most members lose 75% minus the prescribed minimumbenefit, the healthy member loses a full 75% of his premiums.

    The medical fraternity has coined an adage in this regard:

    What you dont use, you lose. However, the problem which a

    healthy person faces is that if he is desirous of using his money,he will have to break the bones in his body to enable himself to

    be hospitalized. This will qualify him to recoup some of the

    money he has earmarked for loss within the haraam deal.

    (7) The medical insurance entity levies a penalty for late-

    joiners. A person who joins at the age of 35 and over, is

    penalised up to a 75% increase in the monthly premium. This

    means the premium could be as high as R3500 per month.

    (8) The medical insurance also prescribes a waiting period

    before paying medical benefit to a patient. This is a period ofup to 12 months in which the member has to pay regularmonthly premiums without being entitled to benefits.

    (9) Despite being a regular payer of premiums, the medical

    insurance also requires members to make a co-payment whichis a portion of the cost of the medical benefits. The member has

    to incumbently pay the co-payment from his pocket despite

    the fact that he has a credit balance in his MSA. He is not

    allowed to pay it from his own money in the MSA.

    (10) If a member defaults in his monthly payments he forfeits

    even years of payments, and he loses all entitlement to medical

    benefit.

    (11) Medical insurance besides being haraam, is available to

    only the wealthy. A man with his wife and 3 minor children