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Prescribed Minimum Benefits | Council for Medical …

    https://www.medicalschemes.co.za/resources/pmb/
    Here is an example of a DTP as it appears in the Medical Schemes Act: The 271 conditions that qualify for PMB cover are diagnosis-specific and include a range of ailments that can be divided into 15 broad categories: No exclusions. Medical schemes often have a list of …

Council - Medical Schemes

    https://www.medicalschemes.com/files/PMB%20Benefit%20definition%20guidelines/PMB_definition_guideline-COVID-19_v6.pdf
    section 67 of the Medical Schemes Act, 1998 (Act No. 131 of 1998), published an amendment to the Medical Schemes Act Regulations in Notice 515 in Government …

Council - Medical Schemes

    https://www.medicalschemes.com/files/PMB%20Benefit%20definition%20guidelines/PMB_definition_guideline-COVID-19_v5.pdf
    the Medical Schemes Act Regulations in Notice 515 in Government Gazette 43295. The amendment includes an insertion of the Diagnosis and Treatment Pair (DTP) in the list of …

MEDICAL SCHEMES ACT NO. 131 OF 1998

    https://www.medicalschemes.com/files/acts%20and%20regulations/msact19july2004.pdf
    MEDICAL SCHEMES ACT NO. 131 OF 1998 [ASSENTED TO 20 NOVEMBER, 1998] [DATE OF COMMENCEMENT: 1 FEBRUARY, 1999] (English text signed by the …

PMB Q&A | Council for Medical Schemes

    https://www.medicalschemes.co.za/pmb-questions/
    They were introduced into the Medical Schemes Act to ensure that beneficiaries of medical schemes would not run out of benefits for certain conditions and find themselves forced to go to State hospitals for …

Dtp Medical Schemes Act | Day of Difference

    https://dayofdifference.org.au/d-medical/dtp-medical-schemes-act.html
    MEDICAL SCHEMES ACT NO. 131 OF 1998 [ASSENTED TO 20 NOVEMBER, 1998] [DATE OF COMMENCEMENT: 1 FEBRUARY, 1999] (English text signed by the …

PMBs and Chronic Diseases | MedicalAid.co.za

    https://www.medicalaid.co.za/pmbs-and-chronic-diseases/
    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: ... (CDL) and other chronic conditions within the …

Annexures to 2020_21 | Council for Medical Schemes

    https://www.medicalschemes.co.za/wpfd_file/annexures-to-2020_21/
    Annexures to 2020_21. Annexures to the CMS Industry Report 2020/21. File size: 1.81 MB. Created: 08-10-2021. Updated: 05-11-2021. Hits: 14780.

ANNEXURE A - Medical Schemes

    https://medicalschemes.com/files/Annual%20Reports/AR2014_2015_Annexures.pdf
    Section 37 of the Medical Schemes Act 131 of 1998 requires every medical scheme to submit its audited annual financial statements, annual statutory returns, and report of the …



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