All you need to know about PMB's
Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the Plan they have selected. The aim is to provide people with continuous care to improve their health and well-being and to make healthcare more affordable.
PMBs are a feature of the Medical Schemes Act, in terms of which medical schemes have to cover the costs related to the diagnosis, treatment and care of:
- Any emergency medical condition
- A limited set of 270 medical conditions (defined in the Diagnosis treatment pairs)
- 25 chronic conditions (defined in the Chronic Disease list)
Did you know as a Bankmed member you have cover for over 26 PMBs already? You can find out more about these PMBs by:
- Visiting the Council for Medical Schemes' PMB page for a definition of an emergency medical condition
- Access the Council for Medical Schemes' Consumer Guide: Prescribed Minimum Benefits and Chronic Medication booklet
- Read through Bankmed Medical Schemes' Frequently Asked Questions (FAQs) on the Bankmed website
- Scroll down to page 31 (Annexure A) for a list of the 270 Diagnosis and Treatment Pairs (extracted from the Regulations governing the Medical Schemes Act)
To apply for chronic medication, please contact the Bankmed call centre or visit our website at www.bankmed.co.za and download your appropriate Plan form.