Out-of-pocket MSA payments in South Africa 2015-2021, by scheme type
As of 2021, open medical schemes had the highest out-of-pocket outlays from medical savings accounts (MSAs), with payments amounting to around 16 billion South African rand (862 million U.S. dollars). Restricted medical schemes, however, paid out significantly less from their medical savings account, with about 4.1 billion South African rand (221 million U.S. dollars) in layouts. This is due to restricted schemes being more comprehensive.