The issue regarding the transition of members from their current medical schemes to the National Health Insurance (NHI) in South Africa has erupted in much debate. This study, modelled on enlightened marketing philosophy concepts, measures the effects of the perceived costs classified by type (procedural, financial, and relational) and direction (positive and negative) of this switch in terms of Customer Satisfaction. It also measures the impact on the perceived marketing ethics of current medical schemes in South Africa. Data were collected using a face-to-face survey from 250 consumers of medical schemes in South Africa. An 83.2% response rate was entered into SPSS Version 26, and AMOS Version 26 to test a two-step modelling approach (SEM). The results reveal positive significant effects of personal relational loss costs and benefit loss costs on Customer Satisfaction, which in turn, negatively affects Thabang Excellent Mofokeng ABOUT THE AUTHOR Thabang Excellent Mofokeng completed Baccalaureus Technologiae Degree in Marketing Management, and Master's Degree in Marketing Management, both from Vaal University of Technology, and his PhD in Marketing Management from North West University, South Africa. He completed the Post-graduate Diploma in Higher Education from the University of Johannesburg, South Africa. He has been working in academia for the last 10 years. Moreover, he has been teaching at Undergraduate and Graduate programs at the University of Johannesburg for the last 3 years. He has also been working as a BCom Marketing Program coordinator and as lecturer in Marketing