Guide to Prescribed Minimum Benefits
Overview
All registered medical schemes in South Africa need to cover Prescribed Minimum Benefits (PMBs) on all the plans they offer to their members.
In terms of the Medical Schemes Act No. 131 of 1998, Prescribed Minimum Benefits (PMBs) are a set of defined benefits that all registered medical schemes in South Africa are obliged to provide for all their members.
All members have access to these benefits, irrespective of their chosen plan type.
Prescribed Minimum Benefits (PMBs) ensure that all medical scheme members have access to continuous care for a defined list of conditions to improve their health.
Discovery Health Medical Scheme plans are structured in a way that maximises cover no matter which health plan you choose. Some plans cost more but offer more comprehensive benefits, while others have lower contributions with fewer benefits. Regardless of this, all our health plans cover more than just the minimum benefits required by law.
The attached document tells you how we cover out-of-hospital Prescribed Minimum Benefits (PMBs).
For more information on your inhospital Prescribed Minimum Benefit (PMB) cover please visit our website www.discovery.co.za under Medical Aid > Find document and certificates.
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