WebAbout Profmed Profmed’s vision to address the healthcare needs of South Africa’s professionals is achieved through the tailored and comprehensive design of benefits that suit the specific requirements of professionals. More; Who Qualifies; Profmed Benefits Profmed medical aid scheme offers ten excellent options. You can choose from one of … WebThe Chronic Illness Benefit (CIB) covers approved treatment for a specified list of chronic conditions The number of chronic conditions covered varies according to your plan type. All health plans cover the chronic conditions that fall under the Prescribed Minimum Benefit (PMB) Chronic Disease List (CDL).
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WebThe Prescribed Minimum Benefit (PMB) list of conditions lists all of the conditions which all medical schemes need to cover on all the ... Chronic upper airway obstruction, resulting in cor pulmonale Medical and surgical management 901C Cleft palate and/or cleft lip without airway obstruction Repair WebCHRONIC ILLNESS/PMB Diagnosis, treatment and care costs of 270 PMB and 26 chronic conditions on the Chronic Diseases List (CDL). Subject to protocols, pre-authorisation and DSPs 100% of the cost/contracted tariff Co-payments may apply in case of voluntary non-DSP use/protocol deviation buddhist temple sarasota fl
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WebHow to register your chronic or PMB conditions to get funding from the Risk Benefit There are different types of claims for Prescribed Minimum Benefits. There are claims for hospital admissions, chronic condit ions and other conditions treated out -of-hospital. Weband 26 chronic conditions (defined in the Chronic Disease List). Each of the 271 PMB conditions is linked to a broadly-defined treatment protocol referred to as Diagnosis Treatment Pairs (DTPs). The treatment standards in … WebPMB condition which will qualify for PMB. CDL (Chronic Diseases List) – a list of 26 chronic conditions described in the Act. Co-payments – in the case of PMB, co-payments apply if the patient does not visit a designated service provider, does not pre-authorise the relevant service(s) or if the treatment does not follow the specified protocols. buddhist temple scarborough