CMP Complaint and Dispute Resolution process

Any claims-related complaints or disputes must be put in writing, and initially directed to:

The Principal Officer
Complaints Division
P.O. Box 6255
Welgemoed
7538

Alternatively, email your complaints to complaints@cmp.co.za.

CMP will respond within 30 days of receipt of the complaint. If you are still dissatisfied with the outcome, you may inform the Chairman of the Disputes Committee (using the same address) in writing within 60 days. Again, CMP will respond within 30 days of receipt.

If, after that, you wish to take the matter further, you may approach the Council for Medical Schemes:

Postal address: Private Bag X34, Hatfield, 0028
Physical Address: Block A, Eco Glades 2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion, 0157
Sharecall number: 0861 123 267
Fax Number: 086 673 2466
Email: complaints@medicalschemes.co.za
Website: www.medicalschemes.co.za

CMS Complaint and Dispute Resolution process

The Act allows members to lodge their complaints directly with CMS. However, members are encouraged to explore the scheme’s dispute resolution process prior to lodging their complaints with the CMS.

Section 47 of the Medical Schemes Act provides the following:

“[1] The Registrar shall, where a written complaint in relation to any matter provider for in this Act has been lodged with the Council, furnish the party complained against with full particulars of the complaint and request such party to furnish the Registrar with his or her written comments thereon within 30 days or such further period as the Registrar may allow.”