Here's something I have been wondering about.

When I get an "Tax Certificate" from the medical aid, it states "expenses not recovered by the scheme" = Rxxx.xx, this figure is always very low. But my MSA (med saving account) is much higher than this figure. Surely, medical expenses paid from my MSA are indeed expenses paid from my savings, and therefore they are not covered by the scheme, so why are they not reflected as such on the tax certificate?

Is this just another loophole, or am I missing something?