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    SARS & Tax

    Medical aid tax credit

    A monthly PAYE reduction (Section 6A) of R376 for the main member + R376 first dependant + R254 each additional dependant (2026/27).

    Full definition

    The medical scheme fees tax credit (Section 6A of the Income Tax Act) is a fixed monthly rebate that reduces PAYE for employees who belong to a registered medical scheme. Amounts for 2026/27: R376 for the main member, R376 for the first dependant and R254 for each additional dependant.

    Automate Medical aid tax credit in your payroll

    Payroll Africa handles Medical aid tax credit calculations automatically for South African employers — SARS-aligned for 2026/27. From R90/month.

    Browse the full South African payroll glossary — 55 terms explained.

    Let payroll handle Medical aid tax credit for you

    Payroll Africa calculates it automatically every month for South African employers — SARS-aligned, with payslips, EMP201 and IRP5 included.

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    • Free migration from Sage, SimplePay, PaySpace or Excel
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    Run Payroll Africa alongside your current system until you're happy to switch.