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SAICA: Updated Medical Schemes Accounting Guide 2025
- 15 January 2026
- Accounting
- South African Accounting Academy
Summary:
The South African Institute of Chartered Accountants (SAICA) has updated and issued their Medical Schemes Accounting Guide.
Article:
This guide (which is usually issued by SAICA every year) provides guidance to SAICA members on the accounting requirements applicable to schemes that carry on the business of a medical scheme, as well as auditors of medical schemes.
The original guide was issued by SAICA earlier this year. Refer to our previous Alert dated 9 July 2025
Contents:
- Introduction
- Definitions
- Accounting Guide
- Appendix I – Illustrative disclosure in the financial statements
- Appendix II – Common problem areas identified by the Council for Medical Aid Schemes
The guidance assumes compliance with IFRS® Accounting Standards (IFRS Accounting Standards) and any additional requirements issued by CMS. It focuses on accounting and reporting issues that are generally applicable to medical schemes but does not cover all possible scenarios. Users should therefore read this guide in conjunction with applicable legislation, CMS circulars, and IFRS Accounting Standards, where appropriate and consider the specific facts and circumstances of each medical scheme to ensure comprehensive coverage of any work they undertake.
The guide does not address audit issues. The Independent Regulatory Board for Auditors (IRBA) issues separate guidance for auditors of medical schemes.
This guide has been updated by the SAICA Medical Schemes Project Group (MSPG), in consultation with the Council of Medical Schemes (CMS).
Click here to download the 159-page Guide:
Relevance to Auditors, Independent Reviewers & Accountants:
- This manual provides guidance on the accounting requirements applicable to schemes that carry on the business of a medical scheme, as well as auditors of medical schemes.
- You should be aware of useful guides that are published by regulators and stakeholders.
Relevance to Your clients:
- This manual provides guidance on the accounting requirements applicable to schemes that carry on the business of a medical scheme.