Overview
- A coalition of PSCBC unions, including FEDUSA affiliates alongside PSA, SAPU, Naptosa, SAOU, Hospersa, Natu, PEU and Nupsaw, has formally rejected the increase and scheduled a march for 21 February.
- GEMS implemented a 9.8% rise from 1 January 2026, with a board-backed proposal to reduce the adjustment to 9.5% from 1 April awaiting Council for Medical Schemes approval.
- Union leaders say contributions will have climbed about 23.2% across 2025 and 2026, compared with a 5.5% public‑service salary increase for 2025/26.
- GEMS defends the pricing as necessary for long‑term sustainability, citing the 25% statutory reserve requirement, healthcare inflation, increased chronic disease prevalence and higher service utilisation.
- Organised labour says it will use collective, legal and institutional avenues, including a review of PSCBC Resolution 1 of 2006 to widen medical scheme choice using the existing government subsidy.