Government Employees Medical Scheme Contribution Adjustment For 2026 ApprovedĀ 

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Johannesburg – The Government Employees Medical Scheme (GEMS) has announced that a revised contribution adjustment of 9.5% for the year 2026 has been approved by the Council for Medical Schemes (CMS).

In a statement made available to The Bulrushes on Thursday, 22 January 2026, GEMS said the approval followed extensive engagement with labour unions through the Public Service Coordinating Bargaining Council (PSCBC).

ā€œThe Scheme initially announced a contribution adjustment of 9.8% on 17 November 2025 as approved by the CMS,ā€ the statement.

ā€œSubsequent consultations with key stakeholders, including the PSCBC, and further actuarial analysis have informed the revised adjustment.

ā€œDuring the consultations, the Scheme provided detailed information on operational costs, which includes a breakdown of non-healthcare costs.ā€

The decision aligns with GEMS’ mandate to provide affordable and comprehensive healthcare benefits to public service employees, while ensuring the long-term financial sustainability of the Scheme.

ā€œAn adjustment below 9.5% would compromise the Scheme’s financial stability and operational efficiency, thereby jeopardising our ability to fulfil our mandate,ā€ said Dr Stan Moloabi, Principal Officer of GEMS.

For January 2026, the contribution adjustment of 9.8% will apply as approved by CMS.

The revised adjustment of 9.5% will be implemented from February 2026.

GEMS remains one of the most affordable medical schemes in South Africa.

For a standard public service family, contributions are up to 23% lower than those in comparable open schemes before the subsidy is taken into account, and up to 51% lower after the subsidy is included.

All Members and Stakeholders have been informed of the revised and approved contribution adjustment for 2026 through official communication channels.

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