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03.11.2026

KeyHealth Ordered to Fully Fund Teenager’s Rare-Disease Treatment

A KeyHealth PMB ruling orders full funding for treatment for a teenager’s rare blood disorder. The scheme plans to challenge the decision.
KeyHealth PMB ruling concerns full funding for a teenager’s rare blood disorder treatment
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A KeyHealth PMB ruling requires the medical scheme to fund a teenager’s rare blood disorder treatment in full, without membership conditions.

The Council for Medical Schemes (CMS) appeals committee issued its decision on 29 October. However, KeyHealth has notified the registrar that it intends to appeal to the CMS appeals board.

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