advertisement
Updated 09 February 2016

What are prescribed minimum benefits (PMBs)?

These are benefits in respect of relevant health services prescribed by the regulations under the Act.

Susan Erasmus is a freelance writer for Health24.

What are prescribed minimum benefits (PMBs)?

The benefits in respect of relevant health services prescribed by the regulations under the Act, and rendered by state hospitals or designated service providers according to clinical protocols and criteria. No restrictions, co-payments, waiting periods or exclusions may be applied to any person in respect of the prescribed minimum benefits if the services are rendered by state hospitals or DSPs.There are 270 conditions classified as PMBs, and 25 chronic conditions. All schemes must provide treatment for these conditions.

In instances where services are voluntarily obtained from a non-DSP, co-payments may apply or waiting periods may be imposed only on those applicants who have never belonged to a medical scheme, or have not been beneficiaries for the preceding 90 days.

 
NEXT ON HEALTH24X
advertisement

Read Health24’s Comments Policy

Comment on this story
0 comments
Comments have been closed for this article.

Live healthier

Lifestyle »

E-cigarettes: Here are five things to know

E-cigarettes have become hugely popular in the past decade, but a rash of vaping-linked deaths and illnesses in the US is feeding caution about a product that's already banned in some places.

Allergy »

Ditch the itch: Researchers find new drug to fight hives

A new drug works by targeting an immune system antibody called immunoglobulin E, which is responsible for the allergic reaction that causes hives.