Prescribed Minimum Benefits: Can your medical scheme refuse to pay?
06 April 2014
With the cost of proper medical care, and in particular specialist treatments such as oncology being almost unaffordable to the... average person, medical aid has become somewhat of a necessity to most South Africans. Although medical schemes offer different packages and benefits to suit the needs of their members, all schemes are required to provide Prescribed Minimum Benefits (PMB). But what are these and to which extent can medical schemes be held responsible to pay for elected procedures?