South Africa: out-of-pocket MSA payments 2021

As of 2021, open medical schemes had the highest out-of-pocket outlays from medical savings accounts (MSAs), with payments amounting to around 16 billion South African rand (862 million U.S. dollars). Restricted medical schemes, however, paid out significantly less from their medical savings account, with about 4.1 billion South African rand (221 million U.S. dollars) in layouts. This is due to restricted schemes being more comprehensive.

Out-of-pocket MSA payments in South Africa from 2015 to 2021, by scheme type (in South African billion rand)

Characteristic	Open*	Restricted*
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Release date

July 2023

More information

Region

South Africa

Survey time period

2015 to 2021

Supplementary notes

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.

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