The source states the following: "This is an understatement of the true out-of-pocket payments that members incur as it is likely that medical schemes do not fully capture and submit all costs associated with seeking healthcare."
MSA stands for medical savings accounts.
*Open medical schemes are open to all South Africans who are able to pay for membership.
*Restricted medical schemes are only available to people who work in specific industries, have certain academic qualifications, are employees of a certain company or belong to certain professional associations in South Africa.
Conversion as of 8/3/2023: one dollar = 18.56 rand.
Citation formats
Out-of-pocket MSA payments in South Africa 2015-2021, by scheme type
As of 2021, open medical schemes had the highest out-of-pocket outlays from medical savings accounts (MSAs), with payments amounting to around ** billion South African rand (*** million U.S. dollars). Restricted medical schemes, however, paid out significantly less from their medical savings account, with about *** billion South African rand (*** million U.S. dollars) in layouts. This is due to restricted schemes being more comprehensive.
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Council for Medical Schemes. (July 21, 2023). Out-of-pocket MSA payments in South Africa from 2015 to 2021, by scheme type (in South African billion rand) [Graph]. In ÌÇÐÄÆƽâ°æ. Retrieved August 01, 2026, from /statistics/1403326/out-of-pocket-msa-payments-in-south-africa-by-scheme-type/
Council for Medical Schemes. "Out-of-pocket MSA payments in South Africa from 2015 to 2021, by scheme type (in South African billion rand)." Chart. July 21, 2023. ÌÇÐÄÆƽâ°æ. Accessed August 01, 2026. /statistics/1403326/out-of-pocket-msa-payments-in-south-africa-by-scheme-type/
Council for Medical Schemes. (2023). Out-of-pocket MSA payments in South Africa from 2015 to 2021, by scheme type (in South African billion rand). ÌÇÐÄÆƽâ°æ. ÌÇÐÄÆƽâ°æ Inc.. Accessed: August 01, 2026. /statistics/1403326/out-of-pocket-msa-payments-in-south-africa-by-scheme-type/
Council for Medical Schemes. "Out-of-pocket Msa Payments in South Africa from 2015 to 2021, by Scheme Type (in South African Billion Rand)." ÌÇÐÄÆƽâ°æ, ÌÇÐÄÆƽâ°æ Inc., 21 Jul 2023, /statistics/1403326/out-of-pocket-msa-payments-in-south-africa-by-scheme-type/
Council for Medical Schemes, Out-of-pocket MSA payments in South Africa from 2015 to 2021, by scheme type (in South African billion rand) ÌÇÐÄÆƽâ°æ, /statistics/1403326/out-of-pocket-msa-payments-in-south-africa-by-scheme-type/ (last visited August 01, 2026)
Out-of-pocket MSA payments in South Africa from 2015 to 2021, by scheme type (in South African billion rand) [Graph], Council for Medical Schemes, July 21, 2023. [Online]. Available: /statistics/1403326/out-of-pocket-msa-payments-in-south-africa-by-scheme-type/
