Get the free (PMB) Chronic Disease List (CDL) application form
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Contact us Prescribed Minimum Benefits (PMB) Chronic Disease List (CDL) application form Tel: 0860 222 999, PO Box 652509, Kenmore 2010, www.altronmedicalaid.co.za Please complete this form if you
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How to fill out pmb chronic disease list
How to fill out PMB chronic disease list:
01
Start by obtaining the PMB chronic disease list form from your healthcare provider or insurance company.
02
Carefully read through the instructions provided on the form to ensure that you understand the purpose and requirements of completing the list.
03
Begin by providing your personal information, such as your full name, date of birth, and contact details, as requested on the form.
04
Review the list of chronic diseases provided and mark any conditions that you have been diagnosed with. This may include diabetes, hypertension, asthma, HIV/AIDS, cancer, or any other qualifying chronic illness.
05
If you have a chronic disease that is not listed on the form, ensure that there is a provision to include it and provide the necessary details.
06
Include any relevant medical documentation or reports that support your chronic disease diagnosis. This may include doctor's notes, test results, or hospital records.
07
Double-check your completed form for accuracy and completeness before submitting it.
08
It is recommended to keep a copy of the filled-out form for your records.
Who needs PMB chronic disease list:
01
Individuals who have been diagnosed with one or more chronic diseases are generally required to complete the PMB chronic disease list.
02
Insurance companies often require this list to establish the eligibility of individuals for certain benefits and coverage provided under the Prescribed Minimum Benefits (PMB) regulations.
03
Patients who wish to access specialized treatment or medication related to their chronic disease may also be asked to provide the PMB chronic disease list to their healthcare provider or insurance company.
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