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 generally benefit. (13) Sheikh/Molvi/Mr. Karaan and Mr.Shuaib Omar seeing the term medical aid have attempted to bamboozle the ignorant public 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 of medical 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 exploitive measures and haraam methods employed by medical insurance schemes. (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 of faasid (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
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 approximately R2,000. (3) 25% of the premium, i.e. R500 is deposited in a special savings 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 may be in his MSA. (4) 75% of the premium, i.e. R1500 is acquired by the medical insurance scheme for its expenses which consist of * Solvency Build * 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 further medical 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 minimum benefit, 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 latejoiners. 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 of up to 12 months in which the member has to pay regular monthly 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 which is 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
(Modem Classics in Near Eastem Studies) Abd Al Duri, Fred M. Donner, Lawrence I. Conrad - The Rise of Historical Writing Among The Arabs (1983, Princeton University Press)