Pretoria – The Government Employees Medical Scheme (GEMS) says it notes the Council for Medical Schemes (CMS) rejection of the proposal to lower the average contribution increase to 7.5%.
CMS’s final determination rejecting GEMS’ proposal to lower its “2026 weighted average contribution” means public servants will face a 9.5% hike in medical aid contributions.
GEMS submitted a proposal to the CMS to reduce the previously approved weighted average contribution adjustment from 9.5% to 7.5%.
GEMS said its proposal reflected ongoing efforts to enhance affordability while maintaining comprehensive healthcare benefits and safeguarding long-term sustainability.
However, following the review of the GEMS submission, the CMS has not approved the proposed adjustment, and has set out the reasons for the decline.
As a result, the medical scheme for public servants said it will maintain the previously approved weighted average contribution adjustment of 9.5%, which has been effective since 1 February 2026.
GEMS said it was finalising the necessary implementation arrangements to ensure members are informed and supported throughout the process.
“The proposal to reduce the contribution adjustment was informed by the scheme’s commitment to easing the financial burden on members wherever possible,” said Dr. Stan Moloabi, Principal Officer of GEMS.
“We recognise the cost-of-living pressures many of our members continue to face, and affordability remains a key consideration in every decision we make.
“While the outcome is a decline of the proposal submitted by GEMS, we have to respect the assessment of the Regulator and address the concerns raised.
“GEMS remains committed to working within the regulatory framework on future contribution adjustments that balance the quest for affordability with financial sustainability.
“GEMS respects the regulatory process and appreciates the engagements we have had with the CMS throughout the review process.”


