Council For Medical Schemes Pmb List

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Prescribed Minimum Benefits | Council for Medical …

https://www.medicalschemes.co.za/resources/pmb/

This means that the treatment your medical scheme must provide for may not be inferior to the algorithms. If you have one of the 25 listed chronic diseases, your medical scheme not only has to cover medication, but also doctors’ consultations and tests related to your …

Circular 47 of 2022: PMB Coded List - Council for Medical Schemes

https://www.medicalschemes.co.za/latest-publication/circular-47-of-2022-pmb-coded-list/

The Council for Medical Schemes (CMS) would like to bring to your attention the publication of the new PMB Coded List. Clinical Review Committee members have …

Council for Medical Schemes (CMS) | Home

https://www.medicalschemes.co.za/

Welcome to CMS The Council for Medical Schemes is a statutory body established by the Medical Schemes Act (131 of 1998) to provide regulatory supervision of private health financing through medical …

2022 PMB ICD-10 Coded list | Council for Medical Schemes

https://www.medicalschemes.co.za/wpfd_file/2022-pmb-icd-10-coded-list/

2022 PMB ICD-10 Coded list | Council for Medical Schemes 2022 PMB ICD-10 Coded list 2022 PMB ICD-10 Coded list File size: 590.38 KB Created: 09-05 …

Chronic Benefits | Council for Medical Schemes

https://www.medicalschemes.co.za/consumer-assistance/chronic-benefits/

Yes, the list of prescribed minimum benefits (PMBs) has been extended to cover 25 common chronic diseases from January 1 next year. Medical schemes have to …

PMB Q&A | Council for Medical Schemes

https://www.medicalschemes.co.za/pmb-questions/

Always check your benefits with your medical scheme and make sure you have the scheme’s rules at your disposal. Is it true that schemes now also have to provide chronic medication? Yes, the list of PMBs includes 25 …

Publications | Council for Medical Schemes

https://www.medicalschemes.co.za/publications/

Find CMS News, circulars, reports and brochures, or browse research briefs authored by our experts. Click the appropriate folder below to view or download any of the files you may …

Council - Medical Schemes

https://www.medicalschemes.com/files/PMB%20Benefit%20definition%20guidelines/PMB_definition_guideline-COVID-19_v6.pdf

The amendment includes an insertion of the Diagnosis and Treatment Pair (DTP) in the list of PMBs under the heading "Respiratory System". The treatment component includes …

CMS - Accreditation - Medical Schemes

https://www.medicalschemes.com/AccreditationPortal

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