The biggest healthcare funders in South Africa are the South African Government and medical aid schemes and they operate in a highly-regulated environment. Unfortunately, the pervasiveness of healthcare fraud concerning collusion between medical aid members and healthcare providers such as physicians is swelling. Health care fraud is invariably a method of white collar crime that could be carried out by a number of stakeholders, inter alia , health care providers, customers, firms providing medical goods or services, and also health care organizations such as medical aid schemes. This article introduces the South African healthcare sector, the numerous ethical challenges for the healthcare providers and the notion of ethics education. The objective of this article is thus even in small measure, to seek to instil a positive ethical mind-set in all medical practitioners and health sector employees. It seeks to support industry initiatives to reduce fraud and ethical misconduct, and offers ethical guidance to practitioners and medical aid schemes and proposes a Medical Practitioner Ethical Guidelines Framework.