The source states the following: "Out-of-pocket payments are calculated as the difference between the claimed amount and the amount paid from the medical scheme risk. 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".
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Estimated out-of-pocket medical payments in South Africa 2020 and 2021, by discipline
In 2021, the largest portion of estimated out-of-pocket payments was that of medicines dispensed, with a share of around **** percent. This was only slightly lower than the **** percent recorded in 2020. Following this were out-of-pocket payments to specialists, which constituted percent in 2021 and was marginally higher than the previous year.
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Council for Medical Schemes. (October 12, 2023). Share of estimated out-of-pocket medical scheme payments in South Africa in 2020 and 2021, by discipline [Graph]. In ÌÇÐÄÆÆ½â°æ. Retrieved August 06, 2026, from /statistics/1403845/share-of-estimated-out-of-pocket-medical-scheme-payments-in-south-africa-by-discipline/
Council for Medical Schemes. "Share of estimated out-of-pocket medical scheme payments in South Africa in 2020 and 2021, by discipline." Chart. October 12, 2023. ÌÇÐÄÆÆ½â°æ. Accessed August 06, 2026. /statistics/1403845/share-of-estimated-out-of-pocket-medical-scheme-payments-in-south-africa-by-discipline/
Council for Medical Schemes. (2023). Share of estimated out-of-pocket medical scheme payments in South Africa in 2020 and 2021, by discipline. ÌÇÐÄÆÆ½â°æ. ÌÇÐÄÆÆ½â°æ Inc.. Accessed: August 06, 2026. /statistics/1403845/share-of-estimated-out-of-pocket-medical-scheme-payments-in-south-africa-by-discipline/
Council for Medical Schemes. "Share of Estimated Out-of-pocket Medical Scheme Payments in South Africa in 2020 and 2021, by Discipline." ÌÇÐÄÆÆ½â°æ, ÌÇÐÄÆÆ½â°æ Inc., 12 Oct 2023, /statistics/1403845/share-of-estimated-out-of-pocket-medical-scheme-payments-in-south-africa-by-discipline/
Council for Medical Schemes, Share of estimated out-of-pocket medical scheme payments in South Africa in 2020 and 2021, by discipline ÌÇÐÄÆÆ½â°æ, /statistics/1403845/share-of-estimated-out-of-pocket-medical-scheme-payments-in-south-africa-by-discipline/ (last visited August 06, 2026)
Share of estimated out-of-pocket medical scheme payments in South Africa in 2020 and 2021, by discipline [Graph], Council for Medical Schemes, October 12, 2023. [Online]. Available: /statistics/1403845/share-of-estimated-out-of-pocket-medical-scheme-payments-in-south-africa-by-discipline/