Get the free Application for Prescribed Minimum Benefits

This document serves as an application form for individuals to request additional benefits for managing their PMB condition in accordance with legislation and the Selfmed scheme rules.

How to fill out application for prescribed minimum

How to fill out Application for Prescribed Minimum Benefits

1. Obtain the Application for Prescribed Minimum Benefits form from your healthcare provider or the relevant authority.
2. Fill in your personal details, including full name, ID number, contact information, and medical scheme details.
3. Provide details of the medical condition or treatment that requires coverage under the Prescribed Minimum Benefits.
4. Attach supporting documents, such as medical reports or statements from healthcare professionals, if required.
5. Review the completed application for accuracy and completeness.
6. Submit the application to your medical scheme or the relevant authority, following their submission guidelines.

Who needs Application for Prescribed Minimum Benefits?

1. Individuals who are members of a South African medical scheme and require coverage for specific medical conditions as per the Prescribed Minimum Benefits regulations.
2. Patients diagnosed with serious or chronic health conditions that necessitate treatment under the prescribed benefits.
3. Members who have exhausted their medical aid benefits and need to apply for additional assistance.

People Also Ask about

Is ADHD included in send?

Examples of special educational needs include: Behavioural, emotional and social difficulties. Autistic spectrum conditions. Specific learning difficulties, such as dyslexia and attention deficit hyperactivity disorder (ADHD) Moderate learning difficulties.

Is ADHD covered under PMB?

The ADHD was listed as a non-PMB condition on 10 options, benefitting 134 977 beneficiaries.

Is blood pressure a PMB?

Prescribed Minimum Benefits (PMBs) are the basic benefits that GEMS provides for certain medical conditions, such as asthma and hypertension as mandated by the Medical Schemes Act.

Is sleep apnea a PMB?

Sleep apnoea is only included in the PMB regulations if you also suffer from cor pulmonale.

Is ADHD a PMB?

ADHD is not considered life threatening. It is consequently not a Prescribed Minimum Benefit (PMB) or Chronic Disease List (CDL) condition as outlined by the Medical Schemes Act.

What is a prescribed minimum benefit?

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.

For pdfFiller’s FAQs

What is Application for Prescribed Minimum Benefits?

The Application for Prescribed Minimum Benefits is a formal request that individuals or healthcare providers submit to obtain coverage for specific minimum health services mandated by law.

Who is required to file Application for Prescribed Minimum Benefits?

Any individual or healthcare provider seeking coverage for healthcare services that fall under prescribed minimum benefits is required to file this application.

How to fill out Application for Prescribed Minimum Benefits?

To fill out the application, one must provide accurate personal information, specified healthcare details, and any supporting documentation as required by the health authority or insurance provider.

What is the purpose of Application for Prescribed Minimum Benefits?

The purpose of the application is to ensure that individuals receive the essential health services they are entitled to under the minimum benefits framework established by law.

What information must be reported on Application for Prescribed Minimum Benefits?

The application must report personal identification details, the specific healthcare services requested, diagnosis or medical necessity, and any relevant medical history or supporting documentation.