List of 270 PMB conditions

There are 270+ PMB conditions, for which your medial aid must cover diagnosis, treatment and management, in and out of hospital. You can read more about PMBs here. We’ve also got a comprehensive write up of how medical aids must pay for different PMB claims.

Below are links to the PMB conditions, and their “treatment pairs”. They will give you a good idea of what time of claims your medical aid will – or should – cover.

• 27 Chronic Conditions
• Brain and Nervous System
• Eye
• Ear, Nose, Mouth and Throat
• Respiratory
• Heart and Vasculature
• Gastro-intestinal system
• Liver, pancreas and spleen
• Musculoskeletal System
• Skin and Breast
• Endocrine, Metabolic and Nutritional
• Urinary and Male Genital System
• Female Reproductive System
• Pregnancy and Childbirth
• Haematological, Infectious and Misc Systemic Conditions
• Mental Illness
• Covid